Alaa El Din El Zoheiry
Seuz Canal University, Egypt
Posters & Accepted Abstracts: Orthop Muscular Syst
Background: Periprosthetic fractures after total knee arthroplasty are considered as a challenging entity faced by orthopedic surgeons. It can involve the femur, tibia or patella. Treatment options include conservative and operative methods. Both have advantages and disadvantages that must be considered before deciding the appropriate course of treatment. Patients & Methods: This work was done at Seuz Canal University Hospitals during January 2011 till January 2015 on 50 patients, aged 55 to 80 years old out of which 35 are female and 15 are male. Patellar fractures were the most common fractures complicating total knee arthroplasty ranging from 0.11% to 21.4%, distal femoral fractures ranged from 0.3% to 2.5% and Tibial fractures ranged 0.4% to 1.75%. The etiology may be intraoperative or postoperative. The diagnosis was clinical and radiological. The treatment for non-displaced fractures was non-operative and open reduction with internal fixation was the treatment of choice of displaced fractures, extra medullary and intramedullary devices may be used. Results: Good results in all cases with no infections or complications were obtained. Conclusion: Periprosthetic fractures after total knee arthroplasty are considered as a challenging entity faced by orthopedic surgeons. Treatment options include conservative and operative methods. Both have advantages and disadvantages that must be considered before deciding the appropriate course of treatment.
Email: elzoheiry2002@yahoo.com
