Fracturas periprotésicas postoperatorias de tibia.
- Jiménez Salanova, C.
- González González, S,
- García-Germán Vázquez, Diego
- Martínez Candial, J.
- Canillas del Rey, Fernando
- Campo Loarte, J.
ISSN: 0304-5056
Year of publication: 2013
Volume: 48
Issue: 253
Pages: 1-8
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
The incidence of periprosthetic tibia fractures is expected to increase although still being rare. It is paramount to classify these fractures properly, based on level and loosening in order to plan an adequate treatment in each case. Conservative treatment, fracture fixation and prosthetic revision can be performed depending on the fracture type. In case of fracture fixation, locking plates, preferable polyaxial, can be a good option due to the limited bone stock in the proximal metaphysis hosting a prosthetic component. Revision can result in relevant bone lose that will need of adequate reconstruction. Navigation systems as well as unicompartmental knee arthroplasty have been related to this complication.