48-253
Fracturas periprotésicas postoperatorias de tibia.
Postoperative periprosthetic tibia fractures.
C. Jiménez Salanova, S. González González, D. García- Germán Vázquez, J. Martínez Candial, F. Canillas Del Rey, J. Campo Loarte. Hospital Universitario de Puerta de Hierro-Majadahonda.
Recepción:
30/09/2013
Aceptación:
30/09/2013
Publicación:
30/09/2013
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Resumen (ES)
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.
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.
Palabras clave (ES):
Artroplastia
Fractura periprotésica
Complicaciones
Rodilla
Prótesis
Resumen (EN)
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.
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.
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