Table 3.
Outcomes for periprosthetic fractures after TKA surgically treated.
| Authors | Number of patients | Mean age at surgery (years) | Fracture type | Surgical treatment | Weight bearing | Follow up (months) | Union rate | Clinical outcome(mean points) | Complications |
|---|---|---|---|---|---|---|---|---|---|
| Platzer et al. 2010 (13) | 41 | 78.6 (59–95) | Femur fracture:37 Type I: 11 Type II: 22 Type III:4 (*) Tibial fracture: 4 Type I:1 Type II:2 Type IV:4 (**) |
Plate fixation: 18 Nail fixation: 15 Revision: 3 Nonoperative: 5 |
Stable fractures: gradual as tolerated. Unstable fractures: weight bearing delayed for 6–8 weeks. |
N/A | 61% at 6 months | N/A | Mortality: 3 (7%) Overall complication rate: 17(41%) Nonunion:5 (12%) Reoperation: 4 (9.7%) |
| Matlovich et al. 2017 (32) | 55 | 75.5 (+/−10) | Type II (***) | Plate fixation: 38 Nail fixation: 19 |
Full weight bearing at 15 weeks | Plate fixation:15.6 (+/− 12.6) Nail fixation:13.9 (+/−15.7) |
N/A | N/A | Nonunion: 2 (2.9%) Reoperation rate: 26.3% Nail fixation 2.7 % Plate fixation |
| Leino et al. 2014 (41) | 68 | 79 (43–95) | Femur fracture: Type I:1 Type II:45 Type III:15 (***) |
Plate fixation: 39 Revision: 29 |
Revision: immediate full weight bearing Plate fixation: partial weight bearing for 6 weeks |
29.9 (0.1–89.1) | N/A | N/A | Infection:7 (10.3%) Nonunion: 6 (8.8%) Patellar dislocation: 3 (4.4%) |