Type A: inferior pole fracture with patellar ligament ruptureType B: inferior pole fracture without patellar ligament rupture
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Technique guide are not considered high yield topics for orthopaedic standardized exams including the ABOS, EBOT and RC.
All of the following are risk factors for post-operative total knee arthroplasty periprosthetic supracondylar femur fractures EXCEPT:
Chronic steroid therapy
Revision knee arthroplasty
Select Answer to see Preferred Response
A 73 year-old female underwent total knee arthroplasty 10 years ago. She sustained a proximal tibial shaft periprosthetic fracture after a ground level fall. Radiographs show that the fracture involves the tibial component's stem with loosening of the tibial component. Which of the following is the most appropriate treatment?
Open reduction and internal fixation of the tibia
Intramedullary rod fixation
Revision with a long stem tibial component that bypasses the fracture
HPI - 60 year old female suffered a mechanical fall. She is unable to bear weight on the right leg following the fall.
XRays are shown.
Operated in elsewhere 6 months ago: ORIF
How would you manage this patient?
HPI - Frail 84F. Admitted with LRTI. Fall on medical ward sustaining Grade 1 Open Periprosthetic Tibial Shaft Fracture. Fracture around tip of stem of long stem revision TKR. Revision TKR is Depuy LPS Distal Femoral Replacement with MBT Tibial Tray and Stem. This was implanted 7 years ago for failed distal femoral fracture fixation. Wound was debrided and closed day after injury. Currently in backslab. Referred on for further management. Apologies for poor quality images.
How would you treat this patient?
HPI - Fell from standing height in the home. Deformity and can't bear weight through leg.
How would you treat this periprosthetic fracture?