Surgical outcomes of subtypes of periprosthetic tibia fractures after total knee arthroplasty

J Orthop. 2021 Dec 28:29:11-14. doi: 10.1016/j.jor.2021.12.003. eCollection 2022 Jan-Feb.

Abstract

Surgical outcomes of subtypes of periprosthetic tibia fractures after total knee arthroplasty were evaluated by using the Felix et al. classification system. Type 3 fractures were the most common classification of periprosthetic tibial fractures. Type 2 fractures had the highest rates of revision and nonunion. Type 3 fractures exhibited longer healing times than types 2 and 4. Far type 3 fractures showed the longest healing time of all fracture types but had very minimal complications. Type 4 fracture managed by K-wire/cerclage wire may require hardware removal or debridement but exhibited the shortest healing time compared to types 2 and 3.

Keywords: Felix et al. classification system; Periprosthetic tibia fracture; TKA; Tibia; Total knee arthroplasty.