PDF herunterladen
J Knee Surg 2017; 30(03): 194-199
DOI: 10.1055/s-0037-1598076
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Management of Bone Defects in Periarticular Knee Injuries: A Review Article

Brian Buck
1   Department of Orthopaedic Surgery, University of Missouri Health Care, Columbia, Missouri
2   Department of Orthopaedic Trauma, CoxHealth, Springfield, Missouri
,
Yvonne M. Murtha
1   Department of Orthopaedic Surgery, University of Missouri Health Care, Columbia, Missouri
› Institutsangaben
Weitere Informationen

Publikationsverlauf

01. Dezember 2016

19. Dezember 2016

Publikationsdatum:
13. Februar 2017 (online)

    Lizenzen und Reprints

Abstract

Traumatic bone defects of the distal femur and proximal tibia present treatment challenges for the orthopaedic traumatologist. In addition to bone loss, significant soft tissue compromise and cartilage defects leave the patient and surgeon with few reconstructive options for proper long-term joint function. These injuries are often complicated by delayed healing, nonunion, malunion, infection, and poor subjective patient outcomes. There are a variety of clinical problems associated with the treatment of periarticular fractures about the knee. This article will describe the surgical options for these difficult problems.

Keywords

bone defect - periarticular fracture - knee - fracture
 

  • References

  • 1 Kirkos JM, Papavasiliou KA, Kyrkos MJ, Sayegh FE, Kapetanos GA. The long-term effects of hip fusion on the adjacent joints. Acta Orthop Belg 2008; 74 (6) 779-787
    PubMedGoogle Scholar
  • 2 Conway JD, Mont MA, Bezwada HP. Arthrodesis of the knee. J Bone Joint Surg Am 2004; 86-A (4) 835-848
    PubMedGoogle Scholar
  • 3 Rand JA, Bryan RS. The outcome of failed knee arthrodesis following total knee arthroplasty. Clin Orthop Relat Res 1986; (205) 86-92
    PubMedGoogle Scholar
  • 4 Wood JH, Conway JD. Advanced concepts in knee arthrodesis. World J Orthop 2015; 6 (2) 202-210
    CrossrefPubMedGoogle Scholar
  • 5 HCUPnet, Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality. Available at: http://hcupnet.ahrq.gov . Accessed August 2008
    PubMedGoogle Scholar
  • 6 Meehan JP, Danielsen B, Kim SH, Jamali AA, White RH. Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty. J Bone Joint Surg Am 2014; 96 (7) 529-535
    CrossrefPubMedGoogle Scholar
  • 7 Long WJ, Bryce CD, Hollenbeak CS, Benner RW, Scott WN. Total knee replacement in young, active patients: long-term follow-up and functional outcome: a concise follow-up of a previous report. J Bone Joint Surg Am 2014; 96 (18) e159
    CrossrefPubMedGoogle Scholar
  • 8 Ennaciri B, Vasile C, Lebredonchel T, Berrada MS, Montbarbon E, Beaudouin E. Knee megaprosthesis: a salvage solution for severe open and complex distal femoral fracture associated with an ipsilateral brachial plexus injury (a case report with literature review). Pan Afr Med J 2015; 21: 207-210
    PubMedGoogle Scholar
  • 9 Dorr LD, Ranawat CS, Sculco TA, McKaskill B, Orisek BS. Bone graft for tibial defects in total knee arthroplasty. 1986. Clin Orthop Relat Res 2006; 446 (446) 4-9
    CrossrefPubMedGoogle Scholar
  • 10 Engh GA, Herzwurm PJ, Parks NL. Treatment of major defects of bone with bulk allografts and stemmed components during total knee arthroplasty. J Bone Joint Surg Am 1997; 79 (7) 1030-1039
    CrossrefPubMedGoogle Scholar
  • 11 Judas F, Rosa S, Teixeira L, Lopes C, Ferreira Mendes A. Chondrocyte viability in fresh and frozen large human osteochondral allografts: effect of cryoprotective agents. Transplant Proc 2007; 39 (8) 2531-2534
    CrossrefPubMedGoogle Scholar
  • 12 Fagan R, Furey AJ. Use of large osteochondral allografts in reconstruction of traumatic uncontained distal femoral defects. J Orthop 2014; 11 (1) 43-47
    PubMedGoogle Scholar
  • 13 Flynn JM, Springfield DS, Mankin HJ. Osteoarticular allografts to treat distal femoral osteonecrosis. Clin Orthop Relat Res 1994; (303) 38-43
    PubMedGoogle Scholar
  • 14 Görtz S, Bugbee WD. Allografts in articular cartilage repair. Instr Course Lect 2007; 56: 469-480
    PubMedGoogle Scholar
  • 15 Klein DM, Caligiuri DA, Riina J, Katzman BM. Spontaneous healing of a massive tibial cortical defect. J Orthop Trauma 1997; 11 (2) 133-135
    CrossrefPubMedGoogle Scholar
  • 16 Sanders DW, Bhandari M, Guyatt G , et al; SPRINT Investigators. Critical-sized defect in the tibia: is it critical? Results from the SPRINT trial. J Orthop Trauma 2014; 28 (11) 632-635
    CrossrefPubMedGoogle Scholar
  • 17 Haines NM, Lack WD, Seymour RB, Bosse MJ. Defining the lower limit of a “critical bone defect” in open diaphyseal tibial fractures. J Orthop Trauma 2016; 30 (5) e158-e163
    CrossrefPubMedGoogle Scholar
  • 18 Sen C, Kocaoglu M, Eralp L, Gulsen M, Cinar M. Bifocal compression-distraction in the acute treatment of grade III open tibia fractures with bone and soft-tissue loss: a report of 24 cases. J Orthop Trauma 2004; 18 (3) 150-157
    CrossrefPubMedGoogle Scholar
  • 19 Oztürkmen Y, Karamehmetoğlu M, Karadeniz H, Azboy I, Caniklioğlu M. Acute treatment of segmental tibial fractures with the Ilizarov method. Injury 2009; 40 (3) 321-326
    CrossrefPubMedGoogle Scholar
  • 20 Thakeb MF, Mahran MA, El-Motassem EM. Bone transport for the management of severely comminuted fractures without bone loss. Strategies Trauma Limb Reconstr 2016; 11: 19-24
    CrossrefPubMedGoogle Scholar
  • 21 Stinner DJ, Mir H. Techniques for intramedullary nailing of proximal tibia fractures. Orthop Clin North Am 2014; 45 (1) 33-45
    CrossrefPubMedGoogle Scholar
  • 22 Hansen M, Mehler D, Hessmann MH, Blum J, Rommens PM. Intramedullary stabilization of extraarticular proximal tibial fractures: a biomechanical comparison of intramedullary and extramedullary implants including a new proximal tibia nail (PTN). J Orthop Trauma 2007; 21 (10) 701-709
    CrossrefPubMedGoogle Scholar
  • 23 Apard T, Bigorre N, Cronier P, Duteille F, Bizot P, Massin P. Two-stage reconstruction of post-traumatic segmental tibia bone loss with nailing. Orthop Traumatol Surg Res 2010; 96 (5) 549-553
    CrossrefPubMedGoogle Scholar
  • 24 Conway JD. Autograft and nonunions: morbidity with intramedullary bone graft versus iliac crest bone graft. Orthop Clin North Am 2010; 41 (1) 75-84
    CrossrefPubMedGoogle Scholar
  • 25 Younger EM, Chapman MW. Morbidity at bone graft donor sites. J Orthop Trauma 1989; 3 (3) 192-195
    CrossrefPubMedGoogle Scholar
  • 26 Belthur MV, Conway JD, Jindal G, Ranade A, Herzenberg JE. Bone graft harvest using a new intramedullary system. Clin Orthop Relat Res 2008; 466 (12) 2973-2980
    CrossrefPubMedGoogle Scholar
  • 27 Gugala Z, Gogolewski S. Regeneration of segmental diaphyseal defects in sheep tibiae using resorbable polymeric membranes: a preliminary study. J Orthop Trauma 1999; 13 (3) 187-195
    CrossrefPubMedGoogle Scholar
  • 28 Ostermann PA, Haase N, Rübberdt A, Wich M, Ekkernkamp A. Management of a long segmental defect at the proximal meta-diaphyseal junction of the tibia using a cylindrical titanium mesh cage. J Orthop Trauma 2002; 16 (8) 597-601
    CrossrefPubMedGoogle Scholar
  • 29 Ramesh LJ, Rajkumar SA, Rajendra R, Rajagopal HP, Phaneesha MS, Gaurav S. Ilizarov ring fixation and fibular strut grafting for C3 distal femoral fractures. J Orthop Surg (Hong Kong) 2004; 12 (1) 91-95
    CrossrefPubMedGoogle Scholar
  • 30 Lai D, Chen CM, Chiu FY, Chang MC, Chen TH. Reconstruction of juxta-articular huge defects of distal femur with vascularized fibular bone graft and Ilizarov's distraction osteogenesis. J Trauma 2007; 62 (1) 166-173
    CrossrefPubMedGoogle Scholar
  • 31 Liang K, Cen S, Xiang Z, Zhong G, Yi M, Huang F. Massive juxta-articular defects of the distal femur reconstructed by series connected double-strut free-vascularized fibular grafts. J Trauma Acute Care Surg 2012; 72 (2) E71-E76
    CrossrefPubMedGoogle Scholar
  • 32 Dugan TR, Hubert MG, Siska PA, Pape HC, Tarkin IS. Open supracondylar femur fractures with bone loss in the polytraumatized patient - timing is everything!. Injury 2013; 44 (12) 1826-1831
    CrossrefPubMedGoogle Scholar
  • 33 Barei DP, Beingessner DM. Open distal femur fractures treated with lateral locked implants: union, secondary bone grafting, and predictive parameters. Orthopedics 2012; 35 (6) e843-e846
    CrossrefPubMedGoogle Scholar
  • 34 Masquelet AC, Begue T. The concept of induced membrane for reconstruction of long bone defects. Orthop Clin North Am 2010; 41 (1) 27-37
    CrossrefPubMedGoogle Scholar
  • 35 Gupta G, Ahmad S, Mohd Zahid, Khan AH, Sherwani MK, Khan AQ. Management of traumatic tibial diaphyseal bone defect by “induced-membrane technique”. Indian J Orthop 2016; 50 (3) 290-296
    CrossrefPubMedGoogle Scholar
    • 36 Mauffrey C, Hake ME, Chadayammuri V, Masquelet AC. Reconstruction of long bone infections using the induced membrane technique: tips and tricks. J Orthop Trauma 2016; 30 (6) e188-e193
      CrossrefPubMedGoogle Scholar
    • 37 Taylor BC, Hancock J, Zitzke R, Castaneda J. Treatment of bone loss with the induced membrane technique: techniques and outcomes. J Orthop Trauma 2015; 29 (12) 554-557
      CrossrefPubMedGoogle Scholar
    • 38 Bottlang M, Fitzpatrick DC, Sheerin D , et al. Dynamic fixation of distal femur fractures using far cortical locking screws: a prospective observational study. J Orthop Trauma 2014; 28 (4) 181-188
      CrossrefPubMedGoogle Scholar
    • 39 Adams Jr JD, Tanner SL, Jeray KJ. Far cortical locking screws in distal femur fractures. Orthopedics 2015; 38 (3) e153-e156
      CrossrefPubMedGoogle Scholar
    • 40 Cui S, Bledsoe JG, Israel H, Watson JT, Cannada LK. Locked plating of comminuted distal femur fractures: does unlocked screw placement affect stability and failure?. J Orthop Trauma 2014; 28 (2) 90-96
      CrossrefPubMedGoogle Scholar
    • 41 Holzman MA, Hanus BD, Munz JW, O'Connor DP, Brinker MR. Addition of a medial locking plate to an in situ lateral locking plate results in healing of distal femoral nonunions. Clin Orthop Relat Res 2016; 474 (6) 1498-1505
      CrossrefPubMedGoogle Scholar