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Management of periprosthetic patellar fractures. A systematic review of literature.

Author: ChalidisByron E, GiannoudisPeter V, StavrouZois, TragasAdamantios A, TsiridisEleftherios

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

Problems with the kneecap (patella) and the tendons that move it are common after total knee replacement surgery, often requiring additional surgery. Fractures of the kneecap after surgery happen in about 1% of cases, especially when the kneecap surface is resurfaced. Most of these fractures occur within the first two years after surgery and are not caused by an injury. Factors that can increase the risk of fracture include certain surgical techniques, implant placement, and loosening of the implant. Non-surgical treatment can be effective for minor fractures, but for more severe cases, open surgery with wiring is not usually the best option, as it has a high failure rate.
Paper Details　
Original Abstract of the Article :
Despite advances in surgical technique and implant design, complications involving the extensor mechanism and patellofemoral joint after total knee arthroplasty (TKA) continue to be the most common cause of pain and the most commonly cited reason for revision surgery. Periprosthetic patellar fractur...See full text at original site
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引用元：
https://doi.org/10.1016/j.injury.2007.02.054

データ提供：米国国立医学図書館（NLM）

Mending a Broken Path: Periprosthetic Patellar Fractures after TKA

Total knee arthroplasty (TKA) is a common and often successful procedure for treating severe knee arthritis. This study investigates the challenges of managing periprosthetic patellar fractures, a complication that can arise after TKA. The researchers conducted a systematic review of the literature to analyze the incidence, causes, and management strategies for this condition.

Understanding the Risks: Factors Contributing to Periprosthetic Patellar Fractures

The study highlights the factors that can increase the risk of periprosthetic patellar fractures, including lateral release, excessive bone removal, and implant fixation techniques. It emphasizes the importance of careful surgical technique and implant selection to minimize the risk of this complication.

Navigating the Treatment Landscape: Management Strategies for Periprosthetic Patellar Fractures

The study explores the various management strategies for periprosthetic patellar fractures, including non-operative and operative approaches. It emphasizes the need for individualized treatment plans based on the severity of the fracture, the stability of the implant, and the patient's overall health.

Dr. Camel's Conclusion

This study, like a camel caravan facing unexpected obstacles in the desert, addresses the challenges of managing periprosthetic patellar fractures after TKA. It highlights the importance of understanding the risk factors, preventing these complications, and implementing appropriate treatment strategies to achieve optimal outcomes. It underscores the need for ongoing research and improvements in surgical techniques and implant designs to minimize the risk of periprosthetic patellar fractures.

Date :
  1. Date Completed 2007-12-14
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

17477924

DOI: Digital Object Identifier

10.1016/j.injury.2007.02.054

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Languages

English

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