One-stage total knee arthroplasty for femoral supracondylar fracture combined with knee osteoarthritis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Shangzeng ¹ , WU Shengchao ² , YOU Mingcan ² , LI Qiang ² ,  ZHENG Fuzeng ¹

1. Department of Orthopaedics, the Second Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou Henan, 450002, P.R.China;
2. Postgraduate School, Henan University of Traditional Chinese Medicine, Zhengzhou Henan, 450046, P.R.China;

Corresponding author：

ZHENG Fuzeng, Email: 469336814@qq.com

Keywords：

Total knee arthroplasty; femoral supracondylar fracture; osteoarthritis; One-stage surgery

DOI：

10.7507/1002-1892.201707071

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effectiveness of one-stage total knee arthroplasty (TKA) for femoral supracondylar fracture combined with knee osteoarthritis. Methods Between January 2012 and March 2015, a total of 19 patients (19 knees) with femoral supracondylar fracture and knee osteoarthritis were treated with one-stage TKA. Of 19 cases, 8 were male and 11 were female with an average age of 69.6 years (range, 60-85 years). The mean body mass index was 22.6 kg/m² (range, 22.0-27.5 kg/m²). The left knee was involved in 13 cases, and the right knee in 6 cases. The causes of femoral supracondylar fracture were falls in 10 cases, traffic accidents in 8 cases, and other injury in 1 case. All fractures were classified as type A according to AO/Association for the Study of Internal Fixation (AO/ASIF) classification. The interval of injury and operation was 4-13 days (mean, 8.6 days). The disease duration of osteoarthritis ranged from 30 to 90 months (mean, 52.6 months). During follow-up, the knee society score (KSS) and the range of motion (ROM) were used to evaluate the knee function; anteroposterior and lateral X-ray films of the knee were used to observe the position of the prosthesis. Results All the incisions healed at the first stage, and there was no early complication such as pulmonary infection, pressure ulcer, and urinary tract infection. All patients were followed up 2-4 years with an average of 2.6 years. The ROM and KSS functional scores and clinical scores were significantly improved at 15 days and 2 years after operation, showing significant differences when compared with those before operation (P<0.05). There were significant differences in the ROM and KSS functional scores and clinical scores between two time points after operation (P<0.05). X-ray films showed the fracture bone healing, good alignment, no loosening of prosthesis at 2 years after operarion. Conclusion One-stage TKA for femoral supracondylar fracture combined with knee osteoarthritis can achieve good effectiveness. It can not only reconstruct joint function, but also cure osteoarthritis and fracture at the same time, shorten the healing time, reduce the incidence of related complications.

Citation： WANG Shangzeng, WU Shengchao, YOU Mingcan, LI Qiang, ZHENG Fuzeng. One-stage total knee arthroplasty for femoral supracondylar fracture combined with knee osteoarthritis. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(12): 1423-1427. doi: 10.7507/1002-1892.201707071 Copy

1.	姜保国, 王满宜. 关节周围骨折. 北京: 人民卫生出版社, 2013: 408-415.
2.	胥少汀, 葛宝丰, 徐印坎. 实用骨科学. 4 版. 北京: 人民军医出版社, 2012: 983-999.
3.	Smith JR, Halliday R, Aquilina AL, et al. Distal femoral fractures: The need to review the standard of care. Injury, 2015, 46(6): 1084.
4.	Virk JS, Garg SK, Gupta P, et al. Distal femur locking plate: the answer to all distal femoral fractures. J Clin Diagn Res, 2016, 10(10): RC01-RC05.
5.	Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma, 2007, 21(10 Suppl): S1-133.
6.	虞惊涛, 茹选良. 股骨远端骨折的处理方法. 中华关节外科杂志(电子版), 2015, 9(5): 663-666.
7.	Eskelinen EV, Liska WD, HK Hyytiäinen HK, et al. Canine total knee replacement performed due to osteoarthritis subsequent to distal femur fracture osteosynthesis: two-year objective outcome. Vet Comp Orthop Traumatol, 2012, 25(5): 427-432.
8.	张晓强, 高菲菲, 段小波. 人工膝关节表面置换术在股骨髁上骨折合并膝关节骨性关节炎中的应用. 中国实用医药, 2014, 9(17): 52-53.
9.	Atrey A, Hussain N, Gosling O, et al. A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures-An alternative treatment option. J Orthop, 2017, 14(1): 216-222.
10.	任姜栋, 张晓岗, 曹力, 等. 一期全膝关节置换治疗陈旧性股骨髁骨折合并膝关节骨关节炎. 中华骨科杂志, 2012, 32(9): 843-848.
11.	金京日, 任红革, 刘彦群, 等. 膝前切口经髌骨纵行截骨入路治疗股骨远端C型骨折的疗效分析. 中国修复重建外科杂志, 2015, 29(6): 700-703.
12.	Erhardt JB, Vincenti M, Pressmar J, et al. Mid term results of distal femoral fractures treated with a polyaxial locking plate: a multi-center study. Open Orthop J, 2014, 8(1): 34-40.
13.	牛子全, 李淑琴, 姚勇, 等. 外侧锁定钢板结合植骨治疗老年股骨远端骨折. 中华创伤骨科杂志, 2016, 18(2): 166-168.
14.	茹江英, 时代, 鲁扬虎, 等. 附加锁定加压钢板与微创稳定系统联合自体骨植骨治疗逆行髓内钉术后股骨远端骨不连的对比分析. 中华临床医师杂志(电子版), 2016, 10(17): 2564-2570.
15.	兰平文, 沈彬. 全膝关节置换术后假体周围骨折的诊疗进展. 中华关节外科杂志(电子版), 2013, 7(2): 240-244.
16.	宋金辉, 张二洋, 张晨, 等. 全膝关节置换术后股骨髁上骨折的治疗12例报告. 中国骨与关节杂志, 2016, 5(10): 739-742.
17.	郭志民, 龚星星, 李延炜, 等. 解剖型钢板结合异体皮质骨板治疗股骨髁粉碎性骨折. 中国修复重建外科杂志, 2015, 29(1): 6-9.

1. 姜保国, 王满宜. 关节周围骨折. 北京: 人民卫生出版社, 2013: 408-415.
2. 胥少汀, 葛宝丰, 徐印坎. 实用骨科学. 4 版. 北京: 人民军医出版社, 2012: 983-999.
3. Smith JR, Halliday R, Aquilina AL, et al. Distal femoral fractures: The need to review the standard of care. Injury, 2015, 46(6): 1084.
4. Virk JS, Garg SK, Gupta P, et al. Distal femur locking plate: the answer to all distal femoral fractures. J Clin Diagn Res, 2016, 10(10): RC01-RC05.
5. Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma, 2007, 21(10 Suppl): S1-133.
6. 虞惊涛, 茹选良. 股骨远端骨折的处理方法. 中华关节外科杂志(电子版), 2015, 9(5): 663-666.
7. Eskelinen EV, Liska WD, HK Hyytiäinen HK, et al. Canine total knee replacement performed due to osteoarthritis subsequent to distal femur fracture osteosynthesis: two-year objective outcome. Vet Comp Orthop Traumatol, 2012, 25(5): 427-432.
8. 张晓强, 高菲菲, 段小波. 人工膝关节表面置换术在股骨髁上骨折合并膝关节骨性关节炎中的应用. 中国实用医药, 2014, 9(17): 52-53.
9. Atrey A, Hussain N, Gosling O, et al. A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures-An alternative treatment option. J Orthop, 2017, 14(1): 216-222.
10. 任姜栋, 张晓岗, 曹力, 等. 一期全膝关节置换治疗陈旧性股骨髁骨折合并膝关节骨关节炎. 中华骨科杂志, 2012, 32(9): 843-848.
11. 金京日, 任红革, 刘彦群, 等. 膝前切口经髌骨纵行截骨入路治疗股骨远端C型骨折的疗效分析. 中国修复重建外科杂志, 2015, 29(6): 700-703.
12. Erhardt JB, Vincenti M, Pressmar J, et al. Mid term results of distal femoral fractures treated with a polyaxial locking plate: a multi-center study. Open Orthop J, 2014, 8(1): 34-40.
13. 牛子全, 李淑琴, 姚勇, 等. 外侧锁定钢板结合植骨治疗老年股骨远端骨折. 中华创伤骨科杂志, 2016, 18(2): 166-168.
14. 茹江英, 时代, 鲁扬虎, 等. 附加锁定加压钢板与微创稳定系统联合自体骨植骨治疗逆行髓内钉术后股骨远端骨不连的对比分析. 中华临床医师杂志(电子版), 2016, 10(17): 2564-2570.
15. 兰平文, 沈彬. 全膝关节置换术后假体周围骨折的诊疗进展. 中华关节外科杂志(电子版), 2013, 7(2): 240-244.
16. 宋金辉, 张二洋, 张晨, 等. 全膝关节置换术后股骨髁上骨折的治疗12例报告. 中国骨与关节杂志, 2016, 5(10): 739-742.
17. 郭志民, 龚星星, 李延炜, 等. 解剖型钢板结合异体皮质骨板治疗股骨髁粉碎性骨折. 中国修复重建外科杂志, 2015, 29(1): 6-9.

Chinese Journal of Reparative and Reconstructive Surgery

One-stage total knee arthroplasty for femoral supracondylar fracture combined with knee osteoarthritis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content