Zygogiannis Konstantinos, Koulalis Dimitrios, Kalatzis Dimitrios, Thivaios Georgios C
Scoliosis and Spine Department, KAT Hospital, Athens, GRC.
Orthopedics and Traumatology, Attikon University Hospital, Athens, GRC.
Cureus. 2024 Jul 12;16(7):e64394. doi: 10.7759/cureus.64394. eCollection 2024 Jul.
Periprosthetic fractures involving total knee arthroplasty (TKA) components, particularly involving the patella, can present a significant challenge regarding orthopedic surgery. This technical note outlines an approach for the reconstruction of complicated periprosthetic transpatellar fractures, with poor bone stock, utilizing autogenous iliac graft. This kind of procedure requires careful preoperative evaluation of imaging, precise intraoperative planning, and strict postoperative management to achieve adequate postoperative results. The inventive option of utilizing an autogenous iliac graft for reconstruction suggests its potential benefits in addressing the unique biomechanical demands of patellar fractures in TKA patients with poor bone stock. Key technical aspects of this approach are highlighted and include graft harvest, graft preparation, and fixation techniques. Overall, this technique can provide a golden standard bailout for periprosthetic transpatellar fracture reconstruction and potentially offer orthopedic surgeons a comprehensive framework for addressing this challenging clinical scenario.
涉及全膝关节置换术（TKA）组件的假体周围骨折，尤其是涉及髌骨的骨折，在骨科手术方面可能带来重大挑战。本技术说明概述了一种利用自体髂骨移植重建伴有骨量不足的复杂假体周围经髌骨骨折的方法。这类手术需要术前对影像学进行仔细评估、术中进行精确规划以及术后进行严格管理，以取得良好的术后效果。利用自体髂骨移植进行重建这一创新选择表明，其在满足骨量不足的TKA患者髌骨骨折独特生物力学需求方面具有潜在益处。突出了该方法的关键技术要点，包括植骨获取、植骨准备和固定技术。总体而言，该技术可为假体周围经髌骨骨折重建提供黄金标准的补救措施，并可能为骨科医生提供应对这一具有挑战性临床情况的全面框架。
