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Adult Reconstruction
intermediate
X-Type

Periprosthetic Femur Fracture After TKA

Total Knee Arthroplasty Complications

A 78-year-old woman presents after a fall with pain and inability to bear weight on her right leg. She had a cemented total knee arthroplasty 5 years ago for osteoarthritis. Radiographs show a displaced supracondylar femur fracture above her well-fixed femoral component with good bone stock. The fracture line does not extend to the prosthesis. She was ambulatory without aids prior to her fall. Regarding periprosthetic femur fractures after TKA:

Mark each as TRUE or FALSE

A

Supracondylar femur fractures above TKA occur in 0.3-2.5% of primary TKA and up to 4% of revision TK...

B

The Rorabeck classification: Type I (undisplaced, prosthesis stable), Type II (displaced, prosthesis...

C

Supracondylar femur fractures occur in greater than 10% of TKA patients; anterior femoral notching i...

D

Anterior femoral notching (resection of anterior cortex during femoral component preparation) create...

E

Goals of treatment are fracture union, restoration of alignment, maintenance of knee function, and e...

Answer the questions to see explanations

Click T (True) or F (False) for each option