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synonyms:
Periprosthetic Tibia Fracture ICD-10
A- initial encounter
D- subsequent encounter
S- sequela
Periprosthetic Tibia Fracture Etiology / Epidemiology / Natural History
- 996.41 mechanical loosening of prosthetic joint
- 996.44 peri-prosthetic fracture around prosthetic joint
- 996.45 periprosthetic osteolysis
Periprosthetic Tibia Fracture Anatomy
Periprosthetic Tibia Fracture Clinical Evaluation
Periprosthetic Tibia Fracture Xray / Diagnositc Tests
- Consider ESR and CRP. 11% of periprosthetic fractures have concomitant infection. (Chevillotte CJ, Ali MH, Trousdale RT, Larson DR, Gullerud RE, Berry DJ. Inflammatory laboratory markers in periprosthetic hip fractures. J Arthroplasty. 2009 Aug;24(5):722-7)
Periprosthetic Tibia Fracture Classification / Treatment
- Type I: involve the tibial plateau
- Type II: occur adjacent to the stem of the tibial component: often loose and require revision arthroplasty with diaphyseal-engaging intramedullary tibial stem.
- Type III: distal to the tibial stem. A=standard management of tibial fracture. B= loose require revision arthroplasty with diaphyseal-engaging intramedullary tibial stem +/- ORIF.
- Type IV: fractures involve the tibial tubercle.
- Subclassifications: A with a well-fixed implant; B with a loose implant; and C, occurring intraoperatively.
Periprosthetic Tibia Fracture Associated Injuries / Differential Diagnosis
Periprosthetic Tibia Fracture Complications
Periprosthetic Tibia Fracture Follow-up Care
Periprosthetic Tibia Fracture Review References
- Felix NA, Stuart MJ, Hanssen AD. Periprosthetic fractures of the tibia associated with total knee arthroplasty. Clin Orthop Relat Res. 1997 Dec;(345):113-24.
- Dennis DA. Periprosthetic fractures following total knee arthroplasty. Instr Course Lect. 2001;50:379-89.
- Duncan CP, ICL 1995;44:293
- Parvizi J, JBJS 2004;86A:8
- Younger AS, ICL 1998;74:251
- Lee SR, ICL 2004;53:111
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