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Triple fracture during rehabilitation after revision total knee arthroplasty
Christof Meyer1, Gabor Szalay, Volker Alt
1Department of Orthopaedic and Trauma Surgery, Klinikum Saarbruecken, Winterberg 1, 66119, Saarbruecken, Germany, christof.sabine.meyer@t-online.de.
Purpose:
The incidence of periprosthetic fractures after knee-joint implant revisions is increasing in prevalence. We present a method of treatment for a patient who sustained a triple fracture--a periprosthetic femur fracture, a patella fracture, and a tibial shaft fracture.
Methods:
The femoral fracture was treated with a specially designed intramedullary nail, the patella fracture with a figure-of-eight suture, and the tibial shaft fracture by a minimal-invasive plate osteosynthesis using a percutaneous plating technique.
Results:
Osseous consolidation was confirmed, and the patient presented a satisfying range of movement under full-weight-bearing conditions after mobilisation.
Conclusions:
Simultaneous multiple periprosthetic fractures are a special challenge, and in situ coupling of the endoprosthesis with a slotted hollow nail presents a valuable option for the treatment.
Level Of Evidence:
Level V, Expert opinion.
