Minimally Invasive Plate Osteosynthesis for Periprosthetic and Interprosthetic Fractures Associated with Knee Arthroplasty: Surgical Technique and Review of Current Literature

Amrut Borade; Daniela Sanchez; Harish Kempegowda; Hemil Maniar; Rodrigo Fernando Pesantez; Michael Suk; Daniel S. Horwitz

doi:10.1055/s-0039-1683443

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2019; 32(05): 392-402
DOI: 10.1055/s-0039-1683443

Special Focus Section

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Minimally Invasive Plate Osteosynthesis for Periprosthetic and Interprosthetic Fractures Associated with Knee Arthroplasty: Surgical Technique and Review of Current Literature

Autoren

Amrut Borade

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania
Daniela Sanchez

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania
Harish Kempegowda

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania
Hemil Maniar

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania
Rodrigo Fernando Pesantez

²Department of Orthopedics and Traumatology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
Michael Suk

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania
Daniel S. Horwitz

¹Department of Orthopaedics, Geisinger Medical Center, Danville, Pennsylvania

Abstract

With the increasing number of total knee arthroplasties (TKAs) being performed, the incidence of periprosthetic fractures adjacent to a TKA is rising. Minimally invasive plate osteosynthesis (MIPO) has proven to be successful for the biological fixation of many fractures. Advances in surgical instrumentation and techniques made MIPO possible for more complex fractures. Periprosthetic fractures are always complicated by problems of soft tissue incisions, scarring, and, of course, the arthroplasty components. MIPO techniques may be particularly suited to these injuries and may make the surgical repair of these fractures safer and more reliable. In this review, case examples are used to define the indications, preoperative planning, implant selection, complications, limitations, and challenges of MIPO for the treatment of periprosthetic fractures about the knee. When considering MIPO for any fracture, we recommend prioritizing an acceptable reduction with biological fixation and resorting to mini-open or open approach when necessary to achieve it. Awareness of the learning curve of the surgical technique, advances in implant designs, the tips and tricks involved, and the limitations of the MIPO is of paramount importance from the orthopaedic surgeon's perspective.

Keywords

periprosthetic fractures - interprosthetic fractures - total knee arthroplasty - MIPO - Minimally invasive plate osteosynthesis

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Referenzen

References
1 Younger AS, Dunwoody J, Duncan CP. Periprosthetic hip and knee fractures: the scope of the problem. Instr Course Lect 1998; 47: 251-256
2 Zuurmond RG, van Wijhe W, van Raay JJ, Bulstra SK. High incidence of complications and poor clinical outcome in the operative treatment of periprosthetic femoral fractures: an analysis of 71 cases. Injury 2010; 41 (06) 629-633
3 Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H. Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury 1997; 28 ( Suppl (Suppl. 01) A7-A12
4 Abhaykumar S, Elliott DS. Percutaneous plate fixation for periprosthetic femoral fractures--a preliminary report. Injury 2000; 31 (08) 627-630
5 Apivatthakakul T, Phornphutkul C. Percutaneous cerclage wiring for reduction of periprosthetic and difficult femoral fractures. A technical note. Injury 2012; 43 (06) 966-971
6 Bae DK, Song SJ, Yoon KH, Kim TY. Periprosthetic supracondylar femoral fractures above total knee arthroplasty: comparison of the locking and non-locking plating methods. Knee Surg Sports Traumatol Arthrosc 2014; 22 (11) 2690-2697
7 Ricci WM, Loftus T, Cox C, Borrelli J. Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty. J Orthop Trauma 2006; 20 (03) 190-196
8 Ehlinger M, Bonnomet F, Adam P. Periprosthetic femoral fractures: the minimally invasive fixation option. Orthop Traumatol Surg Res 2010; 96 (03) 304-309
9 Marti A, Fankhauser C, Frenk A, Cordey J, Gasser B. Biomechanical evaluation of the less invasive stabilization system for the internal fixation of distal femur fractures. J Orthop Trauma 2001; 15 (07) 482-487
10 Koval KJ, Hoehl JJ, Kummer FJ, Simon JA. Distal femoral fixation: a biomechanical comparison of the standard condylar buttress plate, a locked buttress plate, and the 95-degree blade plate. J Orthop Trauma 1997; 11 (07) 521-524
11 Zlowodzki M, Williamson S, Cole PA, Zardiackas LD, Kregor PJ. Biomechanical evaluation of the less invasive stabilization system, angled blade plate, and retrograde intramedullary nail for the internal fixation of distal femur fractures. J Orthop Trauma 2004; 18 (08) 494-502
12 Ruchholtz S, Tomás J, Gebhard F, Larsen MS. Periprosthetic fractures around the knee-the best way of treatment. Eur Orthop Traumatol 2013; 4 (02) 93-102
13 Kampshoff J, Stoffel KK, Yates PJ, Erhardt JB, Kuster MS. The treatment of periprosthetic fractures with locking plates: effect of drill and screw type on cement mantles: a biomechanical analysis. Arch Orthop Trauma Surg 2010; 130 (05) 627-632
14 Kammerlander C, Kates SL, Wagner M, Roth T, Blauth M. Minimally invasive periprosthetic plate osteosynthesis using the locking attachment plate. Oper Orthop Traumatol 2013; 25 (04) 398-408 , 410
15 Lever JP, Zdero R, Nousiainen MT, Waddell JP, Schemitsch EH. The biomechanical analysis of three plating fixation systems for periprosthetic femoral fracture near the tip of a total hip arthroplasty. J Orthop Surg Res 2010; 5: 45-45
16 Lenz M, Perren SM, Richards RG. , et al. Biomechanical performance of different cable and wire cerclage configurations. Int Orthop 2013; 37 (01) 125-130
17 Apivatthakakul T, Phornphutkul C, Bunmaprasert T, Sananpanich K, Fernandez Dell'Oca A. Percutaneous cerclage wiring and minimally invasive plate osteosynthesis (MIPO): a percutaneous reduction technique in the treatment of Vancouver type B1 periprosthetic femoral shaft fractures. Arch Orthop Trauma Surg 2012; 132 (06) 813-822
18 Carls J, Kohn D, Rössig S. A comparative study of two cerclage systems. Arch Orthop Trauma Surg 1999; 119 (1-2): 67-72
19 Ahmad M, Nanda R, Bajwa AS, Candal-Couto J, Green S, Hui AC. Biomechanical testing of the locking compression plate: when does the distance between bone and implant significantly reduce construct stability?. Injury 2007; 38 (03) 358-364
20 Moazen M, Jones AC, Jin Z, Wilcox RK, Tsiridis E. Periprosthetic fracture fixation of the femur following total hip arthroplasty: a review of biomechanical testing. Clin Biomech (Bristol, Avon) 2011; 26 (01) 13-22
21 Kubiak EN, Haller JM, Kemper DD, Presson AP, Higgins TF, Horwitz DS. Does the lateral plate need to overlap the stem to mitigate stress concentration when treating Vancouver C periprosthetic supracondylar femur fracture?. J Arthroplasty 2015; 30 (01) 104-108
22 Bottlang M, Feist F. Biomechanics of far cortical locking. J Orthop Trauma 2011; 25 ( Suppl (Suppl. 01) S21 –S28
23 Ehlinger M, Scheibling B, Rahme M. , et al. Minimally invasive surgery with locking plate for periprosthetic femoral fractures: technical note. Int Orthop 2015; 39 (10) 1921-1926
24 Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H. Minimally invasive plate osteosynthesis: does percutaneous plating disrupt femoral blood supply less than the traditional technique?. J Orthop Trauma 1999; 13 (06) 401-406
25 Herrera DA, Kregor PJ, Cole PA, Levy BA, Jönsson A, Zlowodzki M. Treatment of acute distal femur fractures above a total knee arthroplasty: systematic review of 415 cases (1981-2006). Acta Orthop 2008; 79 (01) 22-27
26 Kumar V, Kanabar P, Owen PJ, Rushton N. Less invasive stabilization system for the management of periprosthetic femoral fractures around hip arthroplasty. J Arthroplasty 2008; 23 (03) 446-450
27 Ricci WM, Bolhofner BR, Loftus T, Cox C, Mitchell S, Borrelli Jr J. Indirect reduction and plate fixation, without grafting, for periprosthetic femoral shaft fractures about a stable intramedullary implant. J Bone Joint Surg Am 2005; 87 (10) 2240-2245