J Knee Surg 2013; 26(05): 313-318
DOI: 10.1055/s-0033-1353991
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Periprosthetic Patellar Fractures

Obinna O. Adigweme
1   Department of Orthopedic Surgery, Orlando Regional Medical Center, Orlando, Florida
,
Adam A. Sassoon
1   Department of Orthopedic Surgery, Orlando Regional Medical Center, Orlando, Florida
,
Joshua Langford
1   Department of Orthopedic Surgery, Orlando Regional Medical Center, Orlando, Florida
,
George J. Haidukewych
1   Department of Orthopedic Surgery, Orlando Regional Medical Center, Orlando, Florida
› Institutsangaben
Weitere Informationen

Publikationsverlauf

01. Juli 2013

08. Juli 2013

Publikationsdatum:
23. August 2013 (online)

Abstract

Periprosthetic patellar fractures represent a spectrum of injuries to a patient with a total knee arthroplasty. They range in severity from an inconsequential injury, which does not compromise function, to a severely debilitating injury that may require advanced reconstructive measures. This article will outline the epidemiology and risk factors associated with periprosthetic patellar fractures. Treatment options as they relate to injury mechanism, fracture severity, patellar component stability, and remaining bone stock will also be discussed. Finally, a review of the current literature regarding the results of treatment will be presented.

 
  • References

  • 1 Berry DJ. Patellar fracture following total knee arthroplasty. J Knee Surg 2003; 16 (4) 236-241
  • 2 Grace JN, Sim FH. Fracture of the patella after total knee arthroplasty. Clin Orthop Relat Res 1988; (230) 168-175
  • 3 Ortiguera CJ, Berry DJ. Patellar fracture after total knee arthroplasty. J Bone Joint Surg Am 2002; 84-A (4) 532-540
  • 4 Healy WL, Wasilewski SA, Takei R, Oberlander M. Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors. J Arthroplasty 1995; 10 (2) 197-201
  • 5 Goldberg VM, Figgie III HE, Inglis AE , et al. Patellar fracture type and prognosis in condylar total knee arthroplasty. Clin Orthop Relat Res 1988; (236) 115-122
  • 6 Scuderi G, Scharf SC, Meltzer LP, Scott WN. The relationship of lateral releases to patella viability in total knee arthroplasty. J Arthroplasty 1987; 2 (3) 209-214
  • 7 Meding JB, Fish MD, Berend ME, Ritter MA, Keating EM. Predicting patellar failure after total knee arthroplasty. Clin Orthop Relat Res 2008; 466 (11) 2769-2774
  • 8 Reuben JD, McDonald CL, Woodard PL, Hennington LJ. Effect of patella thickness on patella strain following total knee arthroplasty. J Arthroplasty 1991; 6 (3) 251-258
  • 9 Wulff W, Incavo SJ. The effect of patella preparation for total knee arthroplasty on patellar strain: a comparison of resurfacing versus inset implants. J Arthroplasty 2000; 15 (6) 778-782
  • 10 Figgie III HE, Goldberg VM, Figgie MP, Inglis AE, Kelly M, Sobel M. The effect of alignment of the implant on fractures of the patella after condylar total knee arthroplasty. J Bone Joint Surg Am 1989; 71 (7) 1031-1039
  • 11 Singerman R, Pagan HD, Peyser AB, Goldberg VM. Effect of femoral component rotation and patellar design on patellar forces. Clin Orthop Relat Res 1997; (334) 345-353
  • 12 Singerman R, Heiple KG, Davy DT, Goldberg VM. Effect of tibial component position on patellar strain following total knee arthroplasty. J Arthroplasty 1995; 10 (5) 651-656
  • 13 Bayley JC, Scott RD, Ewald FC, Holmes Jr GB. Failure of the metal-backed patellar component after total knee replacement. J Bone Joint Surg Am 1988; 70 (5) 668-674
  • 14 Keating EM, Haas G, Meding JB. Patella fracture after post total knee replacements. Clin Orthop Relat Res 2003; (416) 93-97
  • 15 Parvizi J, Kim KI, Oliashirazi A, Ong A, Sharkey PF. Periprosthetic patellar fractures. Clin Orthop Relat Res 2006; 446: 161-166
  • 16 Chang MA, Rand JA, Trousdale RT. Patellectomy after total knee arthroplasty. Clin Orthop Relat Res 2005; 440: 175-177
  • 17 Park SS, Kubiak EN, Wasserman B, Sathappan SS, Di Cesare PE. Management of extensor mechanism disruptions occurring after total knee arthroplasty. Am J Orthop 2005; 34 (8) 365-372
  • 18 Rosenberg AG. Management of extensor mechanism rupture after TKA. J Bone Joint Surg Br 2012; 94 (11, Suppl A): 116-119
  • 19 Parvizi J, Seel MJ, Hanssen AD, Berry DJ, Morrey BF. Patellar component resection arthroplasty for the severely compromised patella. Clin Orthop Relat Res 2002; (397) 356-361
  • 20 Browne JA, Hanssen AD. Reconstruction of patellar tendon disruption after total knee arthroplasty: results of a new technique utilizing synthetic mesh. J Bone Joint Surg Am 2011; 93 (12) 1137-1143