Patella Fractures after Total Knee Arthroplasty

Gabrielle Swartz; Mohamed Albana; Jeremy A. Dubin; Daniel Hameed; Sandeep S. Bains; Michael A. Mont; Ronald E. Delanois; Giles R. Scuderi

doi:10.1055/a-2376-6721

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg
DOI: 10.1055/a-2376-6721

Special Focus Section

Patella Fractures after Total Knee Arthroplasty

Gabrielle Swartz

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Mohamed Albana

²Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Orthopaedic Institute, New York, New York

,

Jeremy A. Dubin

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Daniel Hameed

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Sandeep S. Bains

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Michael A. Mont

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Ronald E. Delanois

¹LifeBridge Health, The Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland

,

Giles R. Scuderi

²Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Orthopaedic Institute, New York, New York

› Institutsangaben

Abstract

Periprosthetic patella fractures are a rare complication that can lead to severe disability following total knee arthroplasty (TKA). There are several factors that increase the risk of this injury, including patient comorbidities, anatomic considerations, and surgical technique. With these factors limiting healing ability in the area, periprosthetic patellar fractures can pose a major challenge to treat, with potentially lasting morbidity for affected patients. These fractures can occur at any time following TKA and are classified based on their associated implant stability and disruption of the extensor mechanism using the Ortiguera and Berry classification system. Each of the three types of fractures can be managed in their own unique way; however, outcomes remain poor, and the complication rates remain high regardless of fracture type. This article provides an overview of the current literature and the recommended management of periprosthetic patella fractures.

Keywords

total knee arthroplasty - complications - management

Volltext

Referenzen

References
1 Berry DJ. Epidemiology: hip and knee. Orthop Clin North Am 1999; 30 (02) 183-190
2 Parvizi J, Jain N, Schmidt AH. Periprosthetic knee fractures. J Orthop Trauma 2008; 22 (09) 663-671
3 Goldberg VM, Figgie III HE, Inglis AE. et al. Patellar fracture type and prognosis in condylar total knee arthroplasty. Clin Orthop Relat Res 1988; (236) 115-122
4 Grace JN, Sim FH. Fracture of the patella after total knee arthroplasty. Clin Orthop Relat Res 1988; (230) 168-175
5 Windsor RE, Scuderi GR, Insall JN. Patellar fractures in total knee arthroplasty. J Arthroplasty 1989; 4 (Suppl): S63-S67
6 Clayton ML, Thirupathi R. Patellar complications after total condylar arthroplasty. Clin Orthop Relat Res 1982; (170) 152-155
7 Keating EM, Haas G, Meding JB. Patella fracture after post total knee replacements. Clin Orthop Relat Res 2003; (416) 93-97
8 American Joint Replacement Registry (AJRR). 2023 Annual Report. Rosemont, IL: American Academy of Orthopaedic Surgeons (AAOS); 2023
9 Chalidis BE, Tsiridis E, Tragas AA, Stavrou Z, Giannoudis PV. Management of periprosthetic patellar fractures. A systematic review of literature. Injury 2007; 38 (06) 714-724
10 Ortiguera CJ, Berry DJ. Patellar fracture after total knee arthroplasty. J Bone Joint Surg Am 2002; 84 (04) 532-540
11 Andriacchi TP, Andersson GB, Fermier RW, Stern D, Galante JO. A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg Am 1980; 62 (05) 749-757
12 Reilly DT, Martens M. Experimental analysis of the quadriceps muscle force and patello-femoral joint reaction force for various activities. Acta Orthop Scand 1972; 43 (02) 126-137
13 Ritter MA, Herbst SA, Keating EM, Faris PM, Meding JB. Patellofemoral complications following total knee arthroplasty. Effect of a lateral release and sacrifice of the superior lateral geniculate artery. J Arthroplasty 1996; 11 (04) 368-372
14 Boyd Jr AD, Ewald FC, Thomas WH, Poss R, Sledge CB. Long-term complications after total knee arthroplasty with or without resurfacing of the patella. J Bone Joint Surg Am 1993; 75 (05) 674-681
15 Lynch AF, Rorabeck CH, Bourne RB. Extensor mechanism complications following total knee arthroplasty. J Arthroplasty 1987; 2 (02) 135-140
16 Doolittle II KH, Turner RH. Patellofemoral problems following total knee arthroplasty. Orthop Rev 1988; 17 (07) 696-702
17 Insall JN, Dethmers DA. Revision of total knee arthroplasty. Clin Orthop Relat Res 1982; (170) 123-130
18 Insall J, Scott WN, Ranawat CS. The total condylar knee prosthesis. A report of two hundred and twenty cases. J Bone Joint Surg Am 1979; 61 (02) 173-180
19 Lombardo DJ, Siljander MP, Sobh A, Moore DD, Karadsheh MS. Periprosthetic fractures about total knee arthroplasty. Musculoskelet Surg 2020; 104 (02) 135-143
20 Yoo JD, Kim NK. Periprosthetic fractures following total knee arthroplasty. Knee Surg Relat Res 2015; 27 (01) 1-9
21 Rosenberg AG, Andriacchi TP, Barden R, Galante JO. Patellar component failure in cementless total knee arthroplasty. Clin Orthop Relat Res 1988; (236) 106-114
22 Aglietti P, Buzzi R, Gaudenzi A. Patellofemoral functional results and complications with the posterior stabilized total condylar knee prosthesis. J Arthroplasty 1988; 3 (01) 17-25
23 Scott RD, Turoff N, Ewald FC. Stress fracture of the patella following duopatellar total knee arthroplasty with patellar resurfacing. Clin Orthop Relat Res 1982; (170) 147-151
24 Abolghasemian M, Samiezadeh S, Sternheim A, Bougherara H, Barnes CL, Backstein DJ. Effect of patellar thickness on knee flexion in total knee arthroplasty: a biomechanical and experimental study. J Arthroplasty 2014; 29 (01) 80-84
25 Reuben JD, McDonald CL, Woodard PL, Hennington LJ. Effect of patella thickness on patella strain following total knee arthroplasty. J Arthroplasty 1991; 6 (03) 251-258
26 Lee QJ, Yeung ST, Wong YC, Wai YL. Effect of patellar thickness on early results of total knee replacement with patellar resurfacing. Knee Surg Sports Traumatol Arthrosc 2014; 22 (12) 3093-3099
27 Goldstein SA, Coale E, Weiss AP, Grossnickle M, Meller B, Matthews LS. Patellar surface strain. J Orthop Res 1986; 4 (03) 372-377
28 Deans J, Scuderi GR. Classification and management of periprosthetic patella fractures. Orthop Clin North Am 2021; 52 (04) 347-355
29 Dennis DA. Periprosthetic fractures following total knee arthroplasty. Instr Course Lect 2001; 50: 379-389
30 Chang MA, Rand JA, Trousdale RT. Patellectomy after total knee arthroplasty. Clin Orthop Relat Res 2005; 440 (440) 175-177
31 Brown NM, Murray T, Sporer SM, Wetters N, Berger RA, Della Valle CJ. Extensor mechanism allograft reconstruction for extensor mechanism failure following total knee arthroplasty. J Bone Joint Surg Am 2015; 97 (04) 279-283
32 Lim CT, Amanatullah DF, Huddleston III JI. et al. Reconstruction of disrupted extensor mechanism after total knee arthroplasty. J Arthroplasty 2017; 32 (10) 3134-3140
33 Ricciardi BF, Oi K, Trivellas M, Lee YY, Della Valle AG, Westrich GH. Survivorship of extensor mechanism allograft reconstruction after total knee arthroplasty. J Arthroplasty 2017; 32 (01) 183-188