A Review of Periprosthetic Tibial Fractures: Diagnosis and Treatment

Samantha A Mohler; Jeffery B Stambough; Simon C Mears; Charles Lowry Barnes; Benjamin M Stronach

doi:10.1016/j.ocl.2021.05.006

A Review of Periprosthetic Tibial Fractures: Diagnosis and Treatment

Orthop Clin North Am. 2021 Oct;52(4):357-368. doi: 10.1016/j.ocl.2021.05.006. Epub 2021 Jul 29.

Authors

Samantha A Mohler¹, Jeffery B Stambough¹, Simon C Mears¹, Charles Lowry Barnes¹, Benjamin M Stronach²

Affiliations

¹ Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St, Mail Slot # 531, Little Rock, AR 72205, USA.
² Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St, Mail Slot # 531, Little Rock, AR 72205, USA. Electronic address: bstronach@uams.edu.

PMID: 34538348
DOI: 10.1016/j.ocl.2021.05.006

Abstract

Periprosthetic fracture occurring during or after total knee arthroplasty is a rare injury. Literature concerning periprosthetic tibial factures is sparse, and there is limited guidance for evidence-based management. This review aims to provide readers with an overview of the epidemiology, risk factors, and classification of these fractures. Management includes nonoperative treatment of nondisplaced fractures, fixation for those with stable implants, and revision for those with loose implants.

Keywords: ORIF; Periprosthetic tibia; Revision TKA; Tibial fracture; Total knee arthroplasty.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Knee / adverse effects*
Fracture Fixation, Internal
Humans
Open Fracture Reduction
Periprosthetic Fractures / diagnosis*
Periprosthetic Fractures / therapy*
Reoperation
Tibial Fractures / diagnosis*
Tibial Fractures / therapy*