Periprosthetic Ankle Fractures: Developing an Algorithm for Management

Foot & Ankle Orthopaedics

AlexanderLazarides¹ 

关键词: Periprosthetic Fracture;    Total Ankle Replacement;    Total Ankle Arthroplasty;   

DOI  :  10.1177/2473011418S00073

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:Total ankle replacements (TAR) are an increasingly popular option for the management of tibiotalar arthritis. Periprosthetic fracture is an uncommon but challenging complication of patients undergoing arthroplasty. Evidence on the management of and outcomes from periprosthetic fractures about a TAR are limited. The purpose of this study was to evaluate patients with postoperative periprosthetic fractures about a TAR and determine clinical outcomes of these patients following operative fixation. Additionally, we propose an algorithm for the management of these patients.Methods:We retrospectively analyzed 400 patients who underwent TAR from 2007 through 2017. Charts were reviewed and patients with postoperative fractures were selected for inclusion. Patients with a fracture >4 weeks from index surgery were considered candidates for inclusion. Patients with intraoperative fractures were excluded. Univariate analyses were used to identify differences in outcomes.Results:32 p...

【 授权许可】

CC BY