Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis
Abstract Background Periprosthetic fractures of the distal femur above a total knee arthroplasty (TKA) have traditionally been managed by locking compression plating (LCP). This technique is technically demanding and is associated with high rates of non-union and revision. More recently, retrograde...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-021-02222-x |
| _version_ | 1797999282751537152 |
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| author | Henry Magill Nikhil Ponugoti Amr Selim James Platt |
| author_facet | Henry Magill Nikhil Ponugoti Amr Selim James Platt |
| author_sort | Henry Magill |
| collection | DOAJ |
| description | Abstract Background Periprosthetic fractures of the distal femur above a total knee arthroplasty (TKA) have traditionally been managed by locking compression plating (LCP). This technique is technically demanding and is associated with high rates of non-union and revision. More recently, retrograde intramedullary nailing (RIMN) has been proposed as an acceptable alternative. This meta-analysis aims to evaluate clinical outcomes in patients with periprosthetic supracondylar femoral fractures who were treated with LCP and RIMN. Methods An up-to-date literature search was carried out using the pre-defined search strategy. All studies that met the inclusion criteria were assessed for methodological quality with the Cochrane’s collaboration tool. Operative time, functional score, time-to-union, non-union rates and revision rates were all considered. Conclusion Ten studies with a total of 531 periprosthetic fractures were included. This meta-analysis has suggested that there is no significant difference in any of the outcome measures assessed. Further, more extensive literature is required on the subject to draw more robust conclusions. |
| first_indexed | 2024-04-11T11:02:11Z |
| format | Article |
| id | doaj.art-aa541dd94f67431383bfda8f3a6d25b7 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:02:11Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-aa541dd94f67431383bfda8f3a6d25b72022-12-22T04:28:33ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-01-011611910.1186/s13018-021-02222-xLocked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysisHenry Magill0Nikhil Ponugoti1Amr Selim2James Platt3Orthopaedic Registrar, Chelsea and Westminster HospitalOrthopaedic Registrar, Basingstoke and North Hampshire HospitalOrthopaedic Registrar, Royal Cornwall HospitalConsultant Trauma & Orthopaedic Surgeon, Hillingdon HospitalAbstract Background Periprosthetic fractures of the distal femur above a total knee arthroplasty (TKA) have traditionally been managed by locking compression plating (LCP). This technique is technically demanding and is associated with high rates of non-union and revision. More recently, retrograde intramedullary nailing (RIMN) has been proposed as an acceptable alternative. This meta-analysis aims to evaluate clinical outcomes in patients with periprosthetic supracondylar femoral fractures who were treated with LCP and RIMN. Methods An up-to-date literature search was carried out using the pre-defined search strategy. All studies that met the inclusion criteria were assessed for methodological quality with the Cochrane’s collaboration tool. Operative time, functional score, time-to-union, non-union rates and revision rates were all considered. Conclusion Ten studies with a total of 531 periprosthetic fractures were included. This meta-analysis has suggested that there is no significant difference in any of the outcome measures assessed. Further, more extensive literature is required on the subject to draw more robust conclusions.https://doi.org/10.1186/s13018-021-02222-xTraumaFractureFixationPeriprostheticTKR |
| spellingShingle | Henry Magill Nikhil Ponugoti Amr Selim James Platt Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Trauma Fracture Fixation Periprosthetic TKR |
| title | Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis |
| title_full | Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis |
| title_fullStr | Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis |
| title_full_unstemmed | Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis |
| title_short | Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis |
| title_sort | locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures a systematic review and meta analysis |
| topic | Trauma Fracture Fixation Periprosthetic TKR |
| url | https://doi.org/10.1186/s13018-021-02222-x |
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