Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (3): 96-99.doi: 10.6040/j.issn.1671-7554.0.2021.1289

Previous Articles    

Two cases of periprosthetic tibial plateau fracture after fixed-bearing unicompartmental knee arthroplasty

LIN Junxin1, LIU Yujiang2, LIU Peilai3, WAN Lianping1, ZHANG Peng1, DU Jianchun1, LIU Zemiao1, KONG Jie1, GAO Shengtao1   

  1. 1. Department of Joint Surgery, Qilu Hospital of Shandong University(Qingdao), Qingdao 266031, Shandong, China;
    2. Department of Spine Surgery, Qingdao Hospital of Traditional Chinese Medicine(Qingdao Hiser Hospital), Qingdao 266021, Shandong, China;
    3. Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2022-03-09

Abstract: Objective To investigate the mechanism and treatment options for periprosthetic tibial plateau fracture(TPF)associated with unicompartmental knee arthroplasty(UKA). Methods The clinical data of 2 cases of TPF after UKA were retrospectively analyzed, and relevant literature was reviewed. Results For patients to undergo UKA, the preoperative indications should be strictly selected, operative condition should be accurately evaluated, operation should be cautiously conducted, and perioperative osteoporosis should be timely treated. Treatment of TPF should be individually tailed according to the size of fracture, displacement of fracture, osteoporosis and stability of the prosthesis. Conclusion Appropriate treatment can lead to a good prognosis for TPF.

Key words: Periprosthetic fracture, Tibial plateau fracture, Complications, Unicondylar arthroplasty, Partial knee arthroplasty

CLC Number: 

  • R683.42
[1] Pandit H, Jenkins C, Gill HS,et al. Minimally invasive Oxford phase 3 unicompartmental knee replacement: results of 1000 cases[J]. J Bone Joint Surg Br, 2011,93(2):198-204.
[2] Goh GS, Bin Abd Razak HR, Tay DK,et al. Unicompartmental knee arthroplasty achieves greater flexion with no difference in functional outcome, quality of life, and satisfaction vs total knee arthroplasty in patients younger than 55 years. A propensity score-matched cohort analysis[J]. J Arthroplasty, 2018, 33(2): 355-361.
[3] Siman H, Kamath AF, Carrillo N, et al. Unicompartmental knee arthroplasty vs total knee arthroplasty for medial compartment arthritis in patients older than 75 years: comparable reoperation, revision, and complication rates[J]. J Arthroplasty, 2017,32(6):1792-1797.
[4] Hiranaka T, Yoshikawa R, Yoshida K, et al. Tibial shape and size predicts the risk of tibial plateau fracture after cementless unicompartmental knee arthroplasty in Japanese patients[J]. Bone Joint J,2020,102(7):861-867.
[5] Kim KT, Lee S, Lee JI, et al. Analysis and treatment of complications after unicompartmental knee arthroplasty[J]. Knee Surg Relat Res, 2016, 28(1): 46-54.
[6] Kumar A,Fiddian NJ. Fracture of the medial tibial plateau following unicompartmental knee replacement [J].Knee,1997,4(3): 177-178.
[7] Sloper PJ, Hing CB, Donell ST, et al. Intra-operative tibial plateau fracture during unicompartmental knee replacement: a case report[J]. Knee, 2003, 10(4): 367-369.
[8] Pandit H, Murray DW, Dodd CA, et al. Medial tibial plateau fracture and the Oxford unicompartmental knee[J].Orthopedics, 2007,30(5):28-31.
[9] Lindstrand A, Stenström A, Ryd L, et al. The introduction period of unicompartmental knee arthroplasty is critical: a clinical, clinical multicentered, and radiostereometric study of 251 Duracon unicompartmental knee arthroplasties[J]. J Arthroplasty, 2000, 15(5): 608-616.
[10] Yokoyama M, Nakamura Y, Egusa M, et al. Factors related to stress fracture after unicompartmental knee arthroplasty[J]. Asia Pac J Sports Med Arthrosc Rehabil Technol, 2019, 15: 1-5. doi: 10.1016/j.asmart.2018.10.001.
[11] Pegg EC,Walter J, DLima DD, et al. Minimising tibial fracture after unicompartmental knee replacement: A probabilistic finite element study[J]. Clin Biomech,2020,73(3),46-54.
[12] Brumby SA, Carrington R, Zayontz S, et al. Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes[J]. J Arthroplasty, 2003, 18(6): 809-812.
[13] Song MH, Kim BH, Ahn SJ, et al. Early complications after minimally invasive mobile-bearing medial unicompartmental knee arthroplasty[J]. J rthroplast, 2009,24(8):1281-1284.
[14] Seeger JB, Jaeger S, Röhner E, et al. Treatment of periprosthetic tibial plateau fractures in unicompartmental knee arthroplasty: plates versus cannulated screws[J]. Arch Orthop Trauma Surg, 2013, 133(2): 253-257.
[1] WANG Yanlig, FENG Ye, ZHOU Xiugeng, YANG Yue, WU Nan, FANG Yu, YAN Shi, LI Shaolei, LYU Chao, HAN Chao, DU Songtao. Preliminary observation of perioperative whey protein supplementation for the prevention of postoperative complications in 33 patients with esophageal cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(3): 64-70.
[2] ZHANG Jianping, LUO Yinger. Application progress of anticoagulant drugs in the treatment of recurrent adverse pregnancy [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 14-19.
[3] ZOU Junyi, ZHANG Hui, ZHANG Xinjie, LI Zijia, XU Minglei, WANG Dong. Clinical experience of 110 cases of orthotopic heart transplantation [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 86-91.
[4] LUO Yingshu, LI Bin, XU Changqin, JIANG Junmei, XU Hongwei. Evaluation of the efficacy and complications of endoscopic treatment of 240 cases of upper gastrointestinal submucosal tumors [J]. Journal of Shandong University (Health Sciences), 2021, 59(3): 74-80.
[5] GUO Zhihua, ZHAO Daqing, XING Yuan, WANG Wei, LIANG Leping, YANG Jing, ZHAO Qianqian. Single-stage end-to-end anastomosis in the management of severe cervical tracheal stenosis [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 72-76.
[6] LU Ye, CUI Huifang, CHEN Xujun, HUANG Yihua, WU Yiqun, HUANG Jianlong, CHEN Huimin, XIONG Xianjun, CHEN Minghong. Application progress of freezing technology in intervention treatment of respiratory disease and preventive treatment for the correlated complications [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(4): 19-22.
[7] LIN Qi, ZHANG Ying, DAI Jianjian, XU Ruicai, YANG Qi, GENG Baocheng, HAN Mingyong. CT-guided 125I seed brachytherapy for superficial lymph node metastases: a report of 23 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(2): 38-44.
[8] WANG Juan, ZHANG Hongtao, GAO Zhen, DI Xuemin, WANG Zeyang. Prevention and treatment of complications of abdominal tumor by radioactive seeds implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(2): 8-13.
[9] LIANG Fei, ZHANG Wenlong, ZHANG Jun, XU Chongen, ZOU Chengwei. Relevant factors and early complications of significantly elevated enzymes after off-pump coronary artery bypass grafting [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(10): 71-75.
[10] FANG Feifei, ZHANG Ying, LIN Qi, YUAN Yuan, DAI Jianjian, XU Ruicai, GENG Baocheng, HAN Mingyong. Clinical efficacy of CT-guided 125I seed brachytherapy in the treatment of metastatic hepatic carcinoma [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(12): 53-57.
[11] ZHAO Heng, YIN Qingfeng, LIU Wenguang, LIU Shenghou, XIAO Shipeng, WANG Shaojin. Application of a novel barbed suture in wound closure of hip and knee replacement [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 53-56.
[12] WANG Chao, ZHANG Wei, GUAN Da-wei, LI Wei, WANG Xian-quan, WANG Wen-hao. Treatment of Vancouver type B3 periprosthetic femoral fracture with greater trochanter reattachment device and cortical strut bone allograft [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(2): 88-92.
[13] HU Liang, YI Yong-xiang, DING Hai, HAN Jian-bo, LIU Tao, ZHAO Liang. Relevant factors of postoperative complications for hepatectomy combined with splenectomy [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(1): 64-66.
[14] LI Zhen-zuo1,2, ZHANG Yan3, MA Chi-cheng4, LIU Jin-bo1, SUN Yu1, HOU Xin-guo1, CHEN Li1. Association of serum vaspin with carotid plaque in new type 2 diabetic patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(10): 79-.
[15] ZHAO Lijian, HAN Bo, ZHANG Jianjun, ZHUANG Jianxin, JIN Youpeng, WANG Yulin. Evaluation of transcatheter closure in 90 cases ofcongenital ventricular septal defect [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(5): 89-92.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!