Related Experiment Video
Updated: Jul 27, 2025
04:42
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
147
Intraoperative Fractures Sustained During Total Knee Arthroplasty: A Critical Analysis Review
Ahmed Siddiqi1,2, Afaaq Ahmed3, Ignacio Pasqualini4
1Orthopedic Institute Brielle Orthopedics, a Division of Ortho NJ, Manasquan, New Jersey.
JBJS Reviews
|June 8, 2023
Summary
Intraoperative fractures during total knee arthroplasty (TKA) are rare but can occur in the femur, tibia, or patella. Management and outcomes for these fractures are not well documented, necessitating further research.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Surgical Complications
Background:
- Postoperative periprosthetic fractures around total knee arthroplasties (TKAs) are common, but intraoperative fractures during TKA are less understood.
- Intraoperative fractures can affect the femur, tibia, or patella, with an incidence ranging from 0.2% to 4.4%.
Purpose of the Study:
- To review the current understanding of intraoperative fractures during TKA.
- To identify risk factors, potential fracture timing, and current management strategies.
- To highlight the lack of reported outcomes for these specific fractures.
Main Methods:
- Literature review of intraoperative fractures during TKA.
- Analysis of risk factors, fracture patterns, and management options.
- Assessment of the current state of knowledge regarding outcomes.
Main Results:
- Risk factors include osteoporosis, advanced age, female sex, and surgical technique.
- Fractures can occur at any surgical stage, with forced flexion during trialing being a specific risk.
- Current management options are varied, including observation, fixation, revision, and rehabilitation modification.
Conclusions:
- Intraoperative fractures during TKA are a rare but significant complication.
- Established management guidelines and comprehensive outcome reporting are lacking.
- Further research is needed to define optimal treatment and predict outcomes.
