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Diagnosis and Management of Intraoperative Periprosthetic Fractures in Primary Total Knee Arthroplasty
Ahmed Siddiqi1, Declan Tozzi, Bryan D Springer
1From the Department of Orthopaedic Surgery, Orthopaedic Institute Brielle Orthopedics, Hackensack Meridian Health, Manasquan, NJ (Siddiqi), SUNY Downstate, Brooklyn, NY (Tozzi), OrthoCarolina Hip and Knee Center, Charlotte, NC (Springer), and the Department of Orthopedic Surgery, Scripps Clinic, San Diego, CA (Rosen).
Abstract:
Intraoperative periprosthetic fracture is an uncommon but notable complication that can occur during primary total knee arthroplasty. These fractures may occur at various stages during the procedure, including surgical exposure, implant preparation, implant trialing, and final implantation. Management of femoral and tibial fractures necessitates intraoperative recognition, including attentiveness of preoperative patient and surgical risk factors. This comprehensive review article focuses on the patient and surgical risk factors, diagnosis, management, and outcomes related to intraoperative fractures during primary total knee arthroplasty.
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