The Orthobullets Podcast

Foundations⎪Recon⎪TKA Periprosthetic Fracture

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Feb 23, 2025
Dive into the complexities of TKA periprosthetic fractures! Discover effective diagnosis and treatment options while exploring key anatomical insights. Learn about the significant clinical scenarios related to distal femur, proximal tibia, and patellar fractures. This insightful discussion is tailored for frontline MSK providers, making it a must-listen for those in the field.
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ADVICE

Distal Femur Periprosthetic Fracture Treatment

  • Treat distal femur periprosthetic fractures non-operatively with casting or bracing if non-displaced and stable.
  • Consider operative treatments like nailing or ORIF depending on fracture location and implant stability.
ADVICE

Tibial Periprosthetic Fracture Treatment

  • Treat non-displaced tibial periprosthetic fractures with stable prosthesis non-operatively.
  • Choose ORIF for unstable fractures with a stable prosthesis or revision for displaced fractures with a loose component.
ADVICE

Patellar Periprosthetic Fracture Treatment

  • Treat patellar fractures non-operatively if the implant is stable, the extensor mechanism is intact, and the fracture is non-displaced.
  • Consider surgery for loose components or extensor mechanism disruption, with options like ORIF, partial or total patellectomy.
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