Femoral component retention in Rorabeck type III periprosthetic knee fracture with plating fixation and bone cement augmentation. A new surgical technique and four cases reported.

Alfonso Queipo-de-Llano, Jorge Mariscal Lara, Antonio Leiva Gea, Borja Delgado-Rufino

Abstract readCase Reports

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Article in Trauma case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 citing paper in PubMed.

[Treatment concepts for of the distal femoral fractures-Management strategy of periprosthetic distal femoral fractures].Unfallchirurgie (Heidelberg, Germany) · 2026
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5 · Who and what money

Authors and funding

4 authors.

Alfonso Queipo-de-LlanoC/ Sancha de Lara 13, 2° Derecha, 29015 Málaga, Spain.

Jorge Mariscal LaraOrthopaedic and Trauma Department, Hospital Universitario "Virgen de la Victoria", Campus Universitario Teatinos S/N, 29010 Málaga, Spain.

Antonio Leiva GeaOrthopaedic and Trauma Department, Hospital Universitario "Virgen de la Victoria", Campus Universitario Teatinos S/N, 29010 Málaga, Spain.

Borja Delgado-RufinoOrthopaedic and Trauma Department, Hospital Universitario "Virgen de la Victoria", Campus Universitario Teatinos S/N, 29010 Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although dual implant constructs have recently been explored with promising results in very distal periprosthetic femur fractures (PPKF), the gold standard treatment of Rorabeck and Taylor type III PPKF remains a distal femur replacement or a highly constrained rotating hinge implant. However, this surgery is very aggressive and expensive for functionally low-demanding elderly patients. A new surgical technique using locking plates with polymethyl methacrylate cement augmentation is described to retain the femoral component avoiding its replacement. Four patients were treated and followed up for more than one year postoperative without any complications, their femoral component was retained without any loosening and the mobility in the Barthel Index remained unchanged.

Indexed as

Fracture fixationInternal/instrumentation Periprosthetic fractures/surgeryPeriprosthetic fracturePolymethyl methacrylate/therapeutic useTotal knee arthroplasty fracture

Identifiers

PMID39183807

DOI10.1016/j.tcr.2024.101084

PMCPMC11342893

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.