Triple fracture during rehabilitation after revision total knee arthroplasty
Meyer, C., Szalay, G., Alt, V. et al.Knee
Purpose
The incidence of periprosthetic fractures after knee-joint implant revisions is increasing in prevalence. We present a method of treatment for a patient who sustained a triple fracture—a periprosthetic femur fracture, a patella fracture, and a tibial shaft fracture.
Methods
The femoral fracture was treated with a specially designed intramedullary nail, the patella fracture with a figure-of-eight suture, and the tibial shaft fracture by a minimal-invasive plate osteosynthesis using a percutaneous plating technique.
Results
Osseous consolidation was confirmed, and the patient presented a satisfying range of movement under full-weight-bearing conditions after mobilisation.
Conclusions
Simultaneous multiple periprosthetic fractures are a special challenge, and in situ coupling of the endoprosthesis with a slotted hollow nail presents a valuable option for the treatment.
Level of evidence
Level V, Expert opinion.
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