Femoral periprosthetic fracture in osteoporotic bone after a total knee replacement: treatment with Ilizarov external fixation (Journal article)

Beris, A. E./ Lykissas, M. G./ Sioros, V./ Mavrodontidis, A. N./ Korompilias, A. V.


We report 3 cases of periprosthetic fractures after total knee replacement treated with Ilizarov external fixator (Smith and Nephew plc, Memphis, Tenn) and a follow-up of at least 3 years. We used 2 rings in the supracondylar area distal to the fracture and 3 half pins proximally in all our cases leaving the knee free to move. In one patient apart from the 2-ring frame placed distal to the fracture site the fixator included another ring frame placed proximally just below the 3 half pins. Uncomplicated fracture healing with lower extremity excellent alignment was achieved in 12 weeks after surgery. In periprosthetic femoral fractures, especially in elderly patients, Ilizarov external fixator is a treatment option which provides stable fixation, prompt postoperative mobilization, and has no major complications.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Aged,Aged, 80 and over,*Arthroplasty, Replacement, Knee,Bone Nails,External Fixators,Female,Femoral Fractures/etiology/radiography/*surgery,Follow-Up Studies,Humans,*Ilizarov Technique/instrumentation,*Knee Prosthesis,Osteoporosis/*complications,Periprosthetic Fractures/etiology/radiography/*surgery,Treatment Outcome
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/21603
ISSN: 1532-8406
Link: http://www.ncbi.nlm.nih.gov/pubmed/20097034
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Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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