J Knee Surg 2019; 32(05): 388-391
DOI: 10.1055/s-0039-1683978
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Distal Femoral Replacement for Periprosthetic Fractures around Total Knee Arthroplasty: When and How?

Saad Khan
1  Department of Orthopaedic Surgery, Hennepin Healthcare, Minneapolis, Minnesota
,
1  Department of Orthopaedic Surgery, Hennepin Healthcare, Minneapolis, Minnesota
› Author Affiliations
Further Information

Publication History

02 February 2019

18 February 2019

Publication Date:
08 April 2019 (eFirst)

Abstract

Periprosthetic fractures around total knee arthroplasty have become more common with the increasing incidence of total knee arthroplasty. These fractures are challenging to treat, especially in older patients with poor bone stock. Although open reduction internal fixation remains the most common treatment, revision with distal femoral replacement has become popular in recent years. Careful evaluation and planning are required to have successful outcomes. We present a review of distal femoral replacement in periprosthetic fractures around the total knee arthroplasty, along with surgical technique, and pearls and pitfalls.