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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Related Experiment Video

Updated: Mar 29, 2026

Author Spotlight: Advancing Research on Candida albicans Biofilm-Associated Prosthetic Joint Infections
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[Periprosthetic knee fractures].

T Mittlmeier1, M Beck2, U Bosch3

  • 1Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Klinik und Poliklinik, Universitätsmedizin Rostock, Schillingallee 35, 18055, Rostock, Deutschland. thomas.mittlmeier@med.uni-rostock.de.

Der Orthopade
|December 10, 2015
PubMed
Summary
This summary is machine-generated.

Periprosthetic fractures around the knee are rising. Accurate diagnosis and individualized treatment plans are essential for optimal patient outcomes and implant survival.

Keywords:
FemurOsteosynthesisPatellaTibiaTotal knee replacement

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Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Biomedical engineering

Background:

  • Increasing incidence of periprosthetic fractures around the knee due to expanded indications for knee replacement, prior revision arthroplasty, increased life expectancy, and comorbidities.
  • Local factors like malalignment, bone defects, adjacent implants, aseptic loosening, and low-grade infections can complicate fracture diagnosis and treatment.

Purpose of the Study:

  • To provide an overview of the diagnostic and therapeutic considerations for periprosthetic fractures around the knee.
  • To emphasize the importance of a differentiated diagnostic approach and specialized expertise in fracture management and revision arthroplasty.

Main Methods:

  • Review of current literature and classifications for periprosthetic fractures.
  • Discussion of diagnostic challenges and treatment strategies.

Main Results:

  • Established classifications exist for categorizing periprosthetic fractures of the femur, tibia, and patella, aiding treatment selection.
  • A comprehensive treatment portfolio is available for managing these complex fractures.

Conclusions:

  • Individualized treatment concepts based on thorough fracture etiology analysis are crucial for achieving acceptable functional restoration, early weight-bearing, and prolonged implant survival.
  • Effective management of complications is paramount for achieving favorable final outcomes.