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[Mid-term results after post-traumatic knee joint replacement in elderly patients]
1Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn. oliver.weber@ukb.uni-bonn.de
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|April 15, 2010
Summary
Primary knee arthroplasty is a viable treatment for geriatric periarticular fractures when osteosynthesis is not feasible. Careful prosthesis selection is crucial for successful outcomes in elderly patients with complex knee injuries.
Area of Science:
- Orthopedic Surgery
- Geriatric Medicine
- Traumatology
Background:
- Increasing elderly population in Germany leads to a rise in geriatric fractures.
- Age-related changes like osteoporosis and reduced coordination complicate fracture treatment.
- Classical osteosynthesis may fail or be impossible for these fractures.
Purpose of the Study:
- To evaluate the outcomes of primary knee arthroplasty for periarticular fractures in geriatric patients.
- To assess the feasibility of knee prosthesis implantation within 3 months of injury.
Main Methods:
- Retrospective analysis of 15 geriatric patients treated with knee arthroplasty.
- Follow-up duration of 39 months for all patients.
- Assessment using the HSS scoring system, operative management, and postoperative course.
Main Results:
- 14 patients were evaluated using the HSS scoring system.
- Patients achieved good functional scores post-surgery.
- The study observed a low rate of complications.
Conclusions:
- Primary knee arthroplasty is a suitable treatment for periarticular fractures in elderly patients.
- Surgeons must identify fractures unsuitable for osteosynthesis.
- Appropriate knee prosthesis selection, considering fixation and bone stock augmentation, is vital.