Periprosthetic Fractures After Total Knee Arthroplasty—A Two-Center Study and Systematic Review of the Literature
Piotr Sypień, Daniel Jaglarz, Jan Gralewski, Ewa Tramś, Witold Bołtuć, Rafał Kamiński, Dariusz Grzelecki · 2026
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Description
Piotr Sypień and co-authors (2026) review fractures that occur around a knee replacement, a complication that demands fast, individualized care. The team analyzed fifty-six patients treated for such a fracture after total knee replacement at two centers. They recorded which operation each patient received, how long treatment took, and how often complications followed. Their results are then set against the published literature in a systematic review.
Almost all patients, 91 percent, were treated surgically, either by revising the knee replacement or by fixing the bone with hardware. Treatment succeeded in 81 percent of cases. During revisions, the femoral component was most often swapped for a semi-constrained implant that gives the joint more stability. In thigh-bone fractures, the implant's fixation had most often come loose in one fracture type. The authors use the combined evidence to guide choices between fixing the bone and replacing the implant.
Catalog record
| CREATOR | Piotr Sypień, Daniel Jaglarz, Jan Gralewski, Ewa Tramś, Witold Bołtuć, Rafał Kamiński, Dariusz Grzelecki |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 26 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |