ArticleJournal of clinical orthopaedics and trauma2020
Management of periprosthetic fracture following total knee arthroplasty- a retrospective study to decide when to fix or when to revise?
Article in Journal of clinical orthopaedics and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Periprosthetic Fractures After Total Knee Arthroplasty-A Two-Center Study and Systematic Review of the Literature.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Patient-reported outcome 1 to 4 years after periprosthetic knee fracture: a nationwide cross-sectional matched study.Acta orthopaedica · 2025Article
- Periprosthetic fractures of the tibial shaft following long-stemmed total knee arthroplasty: A case report.World journal of orthopedics · 2025Article
- Revision surgery for periprosthetic fracture of distal femur after endoprosthetic replacement of knee joint following resection of osteosarcoma.Frontiers in oncology · 2024Article
- Megaprosthesis in Non-Oncologic Settings-A Systematic Review of the Literature.Journal of clinical medicine · 2023Review
- Combination-type periprosthetic tibial fracture: Felix type (II+IV)A.BMJ case reports · 2023Article
- Should megaprosthesis implants be a viable option in elderly patients after distal femur and periprosthetic distal femur fractures?-a retrospective cohort study.Annals of joint · 2023Article
- Distal femur periprosthetic knee fractures in elderly patients: clinical and radiographic outcome after internal fixation.Acta bio-medica : Atenei Parmensis · 2021Article
- Revision arthroplasty in 2020.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePeriprosthetic fractures around total knee arthroplasty are relatively rare complication comprises to 0.3-2.5%. But these injuries are often complex and challenging for the surgeons due to ageing population in conjunction with severe osteoporosis. The management option varies from conservative to internal fixation or revision surgery. Thus this study was conducted to analyze the results of various methods of treatment of periprosthetic fractures following TKA and to form the optimal treatment guidelines for fixation or revision. MATERIAL AND
methods51 cases diagnosed with periprosthetic fracture were enrolled and underwent surgical intervention. Type of primary prosthesis, interval between TKA and periprosthetic fracture, type of fracture, prosthesis stability and mode of fixation of fracture, any revision surgery and complication were noted.
resultsThe mean age of all patients was 65.89 years. The mean interval between the index surgery and periprosthetic fracture was 6 years (Range 2 months to 10 years) in male and 18.5 months (Range 4 days to 7 years) in female. 44 (86%) fractures were femoral, 4 (8%) fractures were tibial and 3 (6%) fractures were of patella. The mean knee society score (KSS) & oxford knee score (OKS) were found to be good for revision group as compared to the fixation group at final follow up.
conclusionIn presence of poor bone stock, far distal fracture configuration, comminution, severe osteoporosis, difficulty in achieving stability with plates & old age-revision TKA is a viable option with stemmed components.
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