Periprosthetic Femur Fracture Through a Large Osteolytic Lesion After Total Knee Arthroplasty
Osteolysis due to polyethylene wear is a well-known complication associated with total knee arthroplasty (TKA). Here, we present the case of one failure that has been rarely reported. We report the case of a 51-year-old male who fractured through a large osteolytic lesion in his femur after a previo...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124001316 |
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| Summary: | Osteolysis due to polyethylene wear is a well-known complication associated with total knee arthroplasty (TKA). Here, we present the case of one failure that has been rarely reported. We report the case of a 51-year-old male who fractured through a large osteolytic lesion in his femur after a previous TKA. The patient presented 4 years after revision TKA after a fall and was found to have fractured through the large lesion. After a diagnostic workup, he was treated with open reduction and internal fixation (ORIF) of the distal femur fracture, and the fixation was augmented with a morselized femoral head allograft and ViviGen (LifeNet Health, Virginia Beach, VA). Osteolysis secondary to polyethylene wear and reactions to arthroplasty components continues to be an ever-present complication of TKAs. |
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| ISSN: | 2352-3441 |