Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature

Abstract Peri-prosthetic patella fracture is the second most common peri-prosthetic fracture after total knee arthroplasty. This report presented the treatment results in 6 patients with peri-prosthetic patella fractures. From January 2015 to February 2019, six patients with peri-prosthetic patella...

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Main Authors: Gaurav Govil, Lavindra Tomar, Pawan Dhawan
Format: Article
Language:English
Published: BMC 2020-11-01
Series:Arthroplasty
Subjects:
Online Access:http://link.springer.com/article/10.1186/s42836-020-00050-8
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author Gaurav Govil
Lavindra Tomar
Pawan Dhawan
author_facet Gaurav Govil
Lavindra Tomar
Pawan Dhawan
author_sort Gaurav Govil
collection DOAJ
description Abstract Peri-prosthetic patella fracture is the second most common peri-prosthetic fracture after total knee arthroplasty. This report presented the treatment results in 6 patients with peri-prosthetic patella fractures. From January 2015 to February 2019, six patients with peri-prosthetic patella fractures were treated. The mean age at surgery was 64 years (range, 48–72 years). Four patients with displaced fractures were treated surgically, and two patients with non-displaced fractures were treated non-surgically. Outcomes were assessed in terms of motion, functional knee score, and Knee Society score. The mean follow-up period lasted 16 months (range: 12–20 months). The average arc of motion was 110° (range: 80°–130°). The mean functional knee score was 77 (range: 70–87). The mean Knee Society score was 84 (range: 75–89). The non-surgical treatment may be a good choice for non-displaced peri-prosthetic patella fractures. For displaced fractures, surgical treatments yielded good functional outcomes. Level of evidence IVa
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spelling doaj.art-8d88066402dd4dce81697ddcede01e452022-12-21T18:13:55ZengBMCArthroplasty2524-79482020-11-01211610.1186/s42836-020-00050-8Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literatureGaurav Govil0Lavindra Tomar1Pawan Dhawan2Department of orthopaedics, Max Super Speciality HospitalDepartment of orthopaedics, Max Super Speciality HospitalDepartment of orthopaedics, Max Super Speciality HospitalAbstract Peri-prosthetic patella fracture is the second most common peri-prosthetic fracture after total knee arthroplasty. This report presented the treatment results in 6 patients with peri-prosthetic patella fractures. From January 2015 to February 2019, six patients with peri-prosthetic patella fractures were treated. The mean age at surgery was 64 years (range, 48–72 years). Four patients with displaced fractures were treated surgically, and two patients with non-displaced fractures were treated non-surgically. Outcomes were assessed in terms of motion, functional knee score, and Knee Society score. The mean follow-up period lasted 16 months (range: 12–20 months). The average arc of motion was 110° (range: 80°–130°). The mean functional knee score was 77 (range: 70–87). The mean Knee Society score was 84 (range: 75–89). The non-surgical treatment may be a good choice for non-displaced peri-prosthetic patella fractures. For displaced fractures, surgical treatments yielded good functional outcomes. Level of evidence IVahttp://link.springer.com/article/10.1186/s42836-020-00050-8Peri-prosthetic patella fracturePatellaOsteosynthesisComplicationTrans-patellar fracture
spellingShingle Gaurav Govil
Lavindra Tomar
Pawan Dhawan
Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
Arthroplasty
Peri-prosthetic patella fracture
Patella
Osteosynthesis
Complication
Trans-patellar fracture
title Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
title_full Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
title_fullStr Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
title_full_unstemmed Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
title_short Peri-prosthetic trans-patellar fractures after Total knee Arthroplasty: a case series and review of literature
title_sort peri prosthetic trans patellar fractures after total knee arthroplasty a case series and review of literature
topic Peri-prosthetic patella fracture
Patella
Osteosynthesis
Complication
Trans-patellar fracture
url http://link.springer.com/article/10.1186/s42836-020-00050-8
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AT lavindratomar periprosthetictranspatellarfracturesaftertotalkneearthroplastyacaseseriesandreviewofliterature
AT pawandhawan periprosthetictranspatellarfracturesaftertotalkneearthroplastyacaseseriesandreviewofliterature