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Orthopaedics
Periprosthetic Fractures of the Knee (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Periprosthetic Fractures (AO Foundation)
What’s inside
1 sections · 103 slides
Overview
- Introduction
- Why these fractures are demanding
- Surgical anatomy and approaches
- Nerves and vessels around the knee
- Nerves and vessels around the knee
- Distal femoral shape and the implant
- Distal femoral shape and the implant
- Safe zones for external fixator pins
- Safe zones for external fixator pins
- Approaches to the distal femur and patella
- Approaches to the distal femur and patella
- Approaches to the proximal tibia
- Approaches to the proximal tibia
- Clinical and radiographic assessment
- Recognizing a loose component
- Role of CT by fracture type
- Suspecting infection
- Diagnostic workup for infection
- Treatment strategy for infection
- Blood loss management
- UCPF classification
- UCPF: distal femur (V.3)
- UCPF: patella (V.34)
- UCPF: proximal tibia (V.4)
- UCPF type tree around the knee
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Fixation or revision: the main decision
- Nonoperative and temporary options
- Nonoperative and temporary options (cont.)
- Distal femur: stable component
- Epicondyle fractures (V.3-A)
- Epicondyle fractures (V.3-A)
- Treatment options: V.3-A
- Treatment options: V.3-A
- ORIF of an epicondyle fracture
- ORIF of an epicondyle fracture
- Stable femoral component (V.3-B1)
- Stable femoral component (V.3-B1)
- Femoral fixation options (B1 and C)
- Femoral fixation options (B1 and C)
- Femoral fixation options (continued)
- Femoral fixation options (continued)
- Proximal to femoral component (V.3-C)
- Proximal to femoral component (V.3-C)
- Implant choice: B1 and C femoral fractures
- Bridge plating: principles
- Bridge plating: principles
- Bridge plating: operative steps
- Bridge plating: operative steps
- Bridge plate fixation rules
- Adjunct fixation around the stem
- Adjunct fixation around the stem
- Double plating the distal femur
- Double plating the distal femur
- Retrograde nailing: entry point
- Retrograde nailing: entry point
- Retrograde nailing: steps
- Retrograde nailing: steps
- Distal femur: loose component
- Revision options: loose femoral component
- Revision options: loose femoral component (cont.)
- Choosing the femoral revision
- Choosing the femoral revision
- Stemmed femoral revision: steps
- Stemmed femoral revision: steps
- Patella
- Why patellar fractures after TKA are hard
- Why patellar fractures after TKA are hard
- Treatment options: patella (V.34)
- Treatment options: patella (V.34) (cont.)
- Disrupted extensor mechanism (V.34-A)
- Suture repair of a pole avulsion
- Suture repair of a pole avulsion
- Cerclage compression wiring (V.34-B1)
- Cerclage compression wiring (V.34-B1)
- Loose patellar component (B2 and B3)
- Loose patellar component (B2 and B3)
- Proximal tibia
- Plateau or tubercle fractures (V.4-A)
- Plateau or tubercle fractures (V.4-A)
- Treatment options: V.4-B1 and V.4-C
- Treatment options: V.4-B1 and V.4-C (cont.)
- Revision options: loose tibial component
- Tibial revision and replacement
- Tibial revision and replacement
- Antegrade tibial nail below a TKA
- Antegrade tibial nail below a TKA
- Aftercare and complications
- Aftercare by technique
- Nonunion by fracture type
- Salvage: arthrodesis and amputation
- Salvage: arthrodesis and amputation
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
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