Ten patients with total knee arthroplasties sustained periprosthetic fractures. Nine of these were supracondylar fractures, and one occurred in the middle one-third of the tibia. These patients were treated with conservative methods in two cases and internal fixation with plate and screws in three cases. The remaining five patients were treated with intramedullary fixation using a specially designed revision prosthesis with long intramedullary stems. The best results were achieved through the revision arthroplasty, based on walking ability, range of motion, and early rehabilitation.
From the Department of Orthopaedics and Traumatology, University of Sao Paulo, Sào Paulo, Brazil.
Reprint requests to Emilio Noel Cordeiro, M.D., Rua Cincinato Braga. 59–1o-CEP-01333, Sao Paulo, Brazil.
Received: March 28, 1988.