Related Experiment Video
Updated: Aug 11, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Combination-type periprosthetic tibial fracture: Felix type (II+IV)A
1Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India satvik.pai@gmail.com.
This case study presents a successful treatment for a rare Felix type II+IV tibial periprosthetic fracture. Conservative management combined with surgical fixation achieved complete healing and return to function.
Area of Science:
- Orthopaedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- Tibial periprosthetic fractures are infrequent but challenging complications following orthopaedic implant surgery.
- Limited literature exists on managing combination-type periprosthetic fractures, specifically Felix type II+IV tibial fractures.
Observation:
- A periprosthetic tibial fracture, classified as Felix type II+IV, was identified in a female patient in her 60s.
- The fracture involved the tibial tuberosity and a segment adjacent to the prosthesis stem.
Findings:
- Surgical fixation of the tibial tuberosity fragment was achieved using a cannulated cancellous screw.
- The fracture adjacent to the stable prosthesis was managed conservatively.
- Radiographic evidence confirmed complete healing of both fracture components within 12 weeks.
Implications:
- This combined conservative and surgical approach offers a potentially viable treatment strategy for complex Felix type II+IV tibial periprosthetic fractures.
- Successful management facilitated the patient's return to pre-injury functional levels within 4 months.
- Further research into combination-type periprosthetic fracture treatments is warranted.
More Related Videos
05:34A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats
Published on: May 20, 2019
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Related Concept Videos
Fractures: Bone Repair
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...
Bones of the Lower Limb: Tibia and Fibula
Fibril-associated Collagen
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
Type IV Collagen of Basal Lamina
A type IV collagen molecule has six alpha chains which can...
Structural Joints: Fibrous Joints
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Bones of the Lower Limb: Femur and Patella