Circular hexapod external fixation for periprosthetic tibial fracture

Arthroplasty Today

Noam Bor, MD¹  Guy Rubin, MD¹  S. Robert Rozbruch, MD²  Michael J. Assayag, MD, FRCSC³ 

[1] Department of Orthopaedic Surgery, Emek Medical Center, Afula, Israel;Faculty of Medicine, Department of Orthopaedic Surgery, Technion, Haifa, Israel;Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, NY, USA;

关键词: Periprosthetic fracture;    Arthroplasty;    Gradual correction;    External fixation;    Taylor spatial frame;    Total knee arthroplasty;   

DOI  :  10.1016/j.artd.2017.03.001

来源: DOAJ

【 摘 要 】

A poor soft tissue envelope often accompanies periprosthetic tibia fracture around a well-fixed total knee arthroplasty and the tibial stem leaves little room for screw fixation. This article describes the practicability and effectiveness of a novel surgical technique using circular hexapod external fixation, in patients with this clinical scenario. It was applied for fixation of periprosthetic tibia fracture in 2 patients. Contact between the external fixation pins and the prosthesis was avoided. Using a web-based software program, a gradual reduction in all planes was achieved. Adequate fixation, stability, reduction, and quick healing were obtained in the 2 cases, with minimal complications. The patients returned to their activity level a few months after external fixation removal.

【 授权许可】

Unknown