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Archives of Orthopaedic and Trauma Surgery

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15.07.2021 | Knee Arthroplasty

Periprosthetic fractures after medial unicompartmental knee arthroplasty: a narrative review

verfasst von: L. Thoreau, D. Morcillo Marfil, E. Thienpont

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2022

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Abstract

Introduction

On rare occasions, fractures of the tibial plateau may occur after uni-compartmental knee arthroplasty (UKA) and account for 2% of total UKA failures. The purpose of this narrative review is to identify and discuss potential risk factors that might lead to prevention of this invalidating complication.

Materials and methods

Electronic database of Pubmed, Scopus, Cochrane and Google Scholar were searched. A total of 457 articles related to the topic were found. Of those, 86 references were included in this narrative review.

Results

UKA implantation acts as a stress riser in the medial compartment. To avoid fractures, surgeons need to balance load and bone stock. Post-operative lower limb alignment, implant positioning, level of resection and sizing of the tibial tray have a strong influence on load distribution of the tibial bone. Pain on weight-bearing signals bone-load imbalance and acts as an indicator of bone remodeling and should be a trigger for unloading. The first three months after surgery are critical because of transient post-operative osteoporosis and local biomechanical changes. Acquired osteoporosis is a growing concern in the arthroplasty population. Split fractures require internal fixation, while subsidence fractures differ in their management depending of the amount of bone impaction. Loose implants require revision knee arthroplasty.

Conclusion

Peri-prosthetic fracture is a rare, but troublesome event, which can lead to implant failure and revision surgery. Better knowledge of the multifactorial risk factors in association with a thorough surgical technique is key for prevention.

Berend KR, Berend ME, Dalury DF, Argenson J-N, Dodd CA, Scott RD (2015) Consensus statement on indications and contraindications for medial unicompartmental knee arthroplasty. J Surg Orthop Adv 24(4):252–256CrossRef

Price A, Beard D, Thienpont E (2013) Uncertainties surrounding the choice of surgical treatment for “bone on bone”^TM medial compartment osteoarthritis of the knee. Knee 20:S16–S20. https://doi.org/10.1016/S0968-0160(13)70004-8CrossRefPubMed

Schwab PE, Lavand’homme P, Yombi JC, Thienpont E (2015) Lower blood loss after unicompartmental than total knee arthroplasty. Knee Surg Sport Traumatol Arthrosc 23(12):3494–3500. https://doi.org/10.1007/s00167-014-3188-xCrossRef

Murray DW, Liddle AD, Dodd CAF, Pandit H (2015) Unicompartmental knee arthroplasty: is the glass half full or half empty? Bone Jt J 97B(10):3–8. https://doi.org/10.1302/0301-620X.97B10.36542CrossRef

Thienpont E (2017) Management factorials in primary total knee arthroplasty conversion of a unicompartmental knee arthroplasty to a total knee arthroplasty can we achieve a primary result? Bone Jt J 99B(1):65–69. https://doi.org/10.1302/0301-620X.99B1.BJJ-2016-0272CrossRef

Ji JH, Park SE, Song IS, Kang H, Ha JY, Jeong JJ (2014) Complications of medial unicompartmental knee arthroplasty. Clin Orthop Surg 6(4):365. https://doi.org/10.4055/cios.2014.6.4.365CrossRefPubMedPubMedCentral

Mckie J, Devane P, Young S et al (2019) The New Zealand joint registry: twenty year report (December), p 184

Crawford DA, Berend KR, Lombardi AV (2018) Management of the failed medial unicompartmental knee arthroplasty. J Am Acad Orthop Surg 26(20):e426–e433. https://doi.org/10.5435/JAAOS-D-17-00107CrossRefPubMed

Kim KT, Lee S, Lee JI, Kim JW (2016) Analysis and treatment of complications after unicompartmental knee arthroplasty. Knee Surg Relat Res 28(1):46–54. https://doi.org/10.5792/ksrr.2016.28.1.46CrossRefPubMedPubMedCentral

10.

Van Loon P, de Munnynck B, Bellemans J (2006) Periprosthetic fracture of the tibial plateau after unicompartmental knee arthroplasty. Acta Orthop Belg 72(3):369–374PubMed

11.

Kutzner I, Trepczynski A, Heller MO, Bergmann G (2013) Knee adduction moment and medial contact force-facts about their correlation during gait. PLoS ONE 8(12):8–15. https://doi.org/10.1371/journal.pone.0081036CrossRef

12.

Berend ME, Ritter MA, Meding JB et al (2004) The Chitranjan Ranawat Award: tibial component failure mechanisms in total knee arthroplasty. Clin Orthop Relat Res 428(428):26–34. https://doi.org/10.1097/01.blo.0000148578.22729.0eCrossRef

13.

Berend KR, Lombardi AV, Mallory TH, Adams JB, Groseth KL (2005) Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res 440:60–66. https://doi.org/10.1097/01.blo.0000187062.65691.e3CrossRefPubMed

14.

Murray DW, Pandit H, Weston-Simons JS et al (2013) Does body mass index affect the outcome of unicompartmental knee replacement? Knee 20(6):461–465. https://doi.org/10.1016/J.KNEE.2012.09.017CrossRefPubMed

15.

Innocenti B, Pianigiani S, Ramundo G, Thienpont E (2016) Biomechanical effects of different varus and valgus alignments in medial unicompartmental knee arthroplasty. J Arthroplasty 31(12):2685–2691. https://doi.org/10.1016/j.arth.2016.07.006CrossRefPubMed

16.

Pattin CA, Caler WE, Carter DR (1996) Cyclic mechanical property degradation during fatigue loading of cortical bone. J Biomech 29(1):69–79. https://doi.org/10.1016/0021-9290(94)00156-1CrossRefPubMed

17.

Chang TW, Yang CT, Liu YL et al (2011) Biomechanical evaluation of proximal tibial behavior following unicondylar knee arthroplasty: modified resected surface with corresponding surgical technique. Med Eng Phys 33(10):1175–1182. https://doi.org/10.1016/j.medengphy.2011.05.007CrossRefPubMed

18.

Lee YS, Yun JY, Lee BK (2014) Tibial component coverage based on bone mineral density of the cut tibial surface during unicompartmental knee arthroplasty: clinical relevance of the prevention of tibial component subsidence. Arch Orthop Trauma Surg 134(1):85–89. https://doi.org/10.1007/s00402-013-1895-2CrossRefPubMed

19.

Clarius M, Haas D, Aldinger PR, Jaeger S, Jakubowitz E, Seeger JB (2010) Periprosthetic tibial fractures in unicompartmental knee arthroplasty as a function of extended sagittal saw cuts: an experimental study. Knee 17(1):57–60. https://doi.org/10.1016/j.knee.2009.05.004CrossRefPubMed

20.

Clarius M, Aldinger PR, Bruckner T, Seeger JB (2009) Saw cuts in unicompartmental knee arthroplasty: an analysis of sawbone preparations. Knee 16(5):314–316. https://doi.org/10.1016/j.knee.2008.12.018CrossRefPubMed

21.

Inoue S, Akagi M, Asada S, Mori S, Zaima H, Hashida M (2016) The valgus inclination of the tibial component increases the risk of medial tibial condylar fractures in unicompartmental knee arthroplasty. J Arthroplasty 31(9):2025–2030. https://doi.org/10.1016/j.arth.2016.02.043CrossRefPubMed

22.

Barrera G, Bunout D, Gattás V, De La Maza MP, Leiva L, Hirsch S (2004) A high body mass index protects against femoral neck osteoporosis in healthy elderly subjects. Nutrition 20(9):769–771. https://doi.org/10.1016/j.nut.2004.05.014CrossRefPubMed

23.

Hooper GJ, Gilchrist N, Maxwell R, March R, Heard A, Frampton C (2013) The effect of the Oxford uncemented medial compartment arthroplasty on the bone mineral density and content of the proximal tibia. Bone Jt J 95B(11):1480–1483. https://doi.org/10.1302/0301-620X.95B11.31509CrossRef

24.

Andersen MR, Winther NS, Lind T, Schrøder HM, Flivik G, Petersen MM (2017) Low preoperative BMD is related to high migration of tibia components in uncemented TKA—92 patients in a combined DEXA and RSA study with 2-year follow-up. J Arthroplasty 32(7):2141–2146. https://doi.org/10.1016/j.arth.2017.02.032CrossRefPubMed

25.

Hernandez-Vaquero D, Garcia-Sandoval MA, Fernandez-Carreira JM, Suarez-Vázquez A, Perez-Hernández D (2005) Measurement of bone mineral density is possible with standard radiographs: a study involving total knee replacement. Acta Orthop 76(6):791–795. https://doi.org/10.1080/17453670510045381CrossRefPubMed

26.

Antoniades L, MacGregor AJ, Matson M, Spector TD (2000) A cotwin control study of the relationship between hip osteoarthritis and bone mineral density. Arthritis Rheum 43(7):1450–1455. https://doi.org/10.1002/1529-0131(200007)43:7%3c1450::AID-ANR6%3e3.0.CO;2-6CrossRefPubMed

27.

Liu G, Peacock M, Eilam O, Dorulla G, Braunstein E, Johnston CC (1997) Effect of osteoarthritis in the lumbar spine and hip on bone mineral density and diagnosis of osteoporosis in elderly men and women. Osteoporos Int 7(6):564–569. https://doi.org/10.1007/BF02652563CrossRefPubMed

28.

Stilling M, Søballe K, Larsen K, Andersen NT, Rahbek O (2010) Knee flexion influences periprosthetic BMD measurement in the tibia: suggestions for a reproducible clinical scan protocol. Acta Orthop 81(4):463–470. https://doi.org/10.3109/17453674.2010.501746CrossRefPubMedPubMedCentral

29.

Kanis JA, McCloskey EV, Johansson H, Oden A, Ström O, Borgström F (2010) Development and use of FRAX® in osteoporosis. Osteoporos Int 21(Suppl 2):407–413. https://doi.org/10.1007/s00198-010-1253-yCrossRef

30.

Labuda A, Papaioannou A, Pritchard J, Kennedy C, DeBeer J, Adachi JD (2008) Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty. Arch Phys Med Rehabil 89(12):2373–2374. https://doi.org/10.1016/j.apmr.2008.06.007CrossRefPubMedPubMedCentral

31.

Muratore M, Quarta E, Quarta L et al (2012) Ibandronate and cementless total hip arthroplasty: densitometric measurement of periprosthetic bone mass and new therapeutic approach to the prevention of aseptic loosening. Clin Cases Miner Bone Metab 9(1):50–55PubMedPubMedCentral

32.

Li MG, Nilsson KG (2000) Changes in bone mineral density at the proximal tibia after total knee arthroplasty: a 2-year follow-up of 28 knees using dual energy X-ray absorptiometry. J Orthop Res 18(1):40–47. https://doi.org/10.1002/jor.1100180107CrossRefPubMed

33.

Hegde V, Jo JE, Andreopoulou P, Lane JM (2016) Effect of osteoporosis medications on fracture healing. Osteoporos Int 27(3):861–871. https://doi.org/10.1007/s00198-015-3331-7CrossRefPubMed

34.

Rosen CJ, Gallagher JC (2011) The 2011 IOM report on vitamin d and calcium requirements for North America: clinical implications for providers treating patients with low bone mineral density. J Clin Densitom 14(2):79–84. https://doi.org/10.1016/j.jocd.2011.03.004CrossRefPubMed

35.

Muir SW, Montero-Odasso M (2011) Effect of vitamin D supplementation on muscle strength, gait and balance in older adults: a systematic review and meta-analysis. J Am Geriatr Soc 59(12):2291–2300. https://doi.org/10.1111/j.1532-5415.2011.03733.xCrossRefPubMed

36.

Russell LA (2013) Osteoporosis and orthopedic surgery: Effect of bone health on total joint arthroplasty outcome. Curr Rheumatol Rep 15(11):371. https://doi.org/10.1007/s11926-013-0371-xCrossRefPubMed

37.

Daugaard H, Elmengaard B, Andreassen T, Bechtold J, Lamberg A, Soballe K (2011) Parathyroid hormone treatment increases fixation of orthopedic implants with gap healing: a biomechanical and histomorphometric canine study of porous coated titanium alloy implants in cancellous bone. Calcif Tissue Int 88(4):294–303. https://doi.org/10.1007/s00223-010-9458-9CrossRefPubMedPubMedCentral

38.

Daugaard H, Elmengaard B, Andreassen TT, Lamberg A, Bechtold JE, Soballe K (2012) Systemic intermittent parathyroid hormone treatment improves osseointegration of press-fit inserted implants in cancellous bone. Acta Orthop 83(4):411–419. https://doi.org/10.3109/17453674.2012.702388CrossRefPubMedPubMedCentral

39.

Wang CJ, Wang JW, Ko JY, Weng LH, Huang CC (2006) Three-year changes in bone mineral density around the knee after a six-month course of oral alendronate following total knee arthroplasty: a prospective, randomized study. J Bone Jt Surg A 88(2):267–272. https://doi.org/10.2106/JBJS.E.00051CrossRef

40.

Shi M, Chen L, Wu H et al (2018) Effect of bisphosphonates on periprosthetic bone loss after total knee arthroplasty: a meta-analysis of randomized controlled trials. BMC Musculoskelet Disord 19(1):1–8. https://doi.org/10.1186/s12891-018-2101-zCrossRef

41.

Murahashi Y, Teramoto A, Jimbo S et al (2020) Denosumab prevents periprosthetic bone mineral density loss in the tibial metaphysis in total knee arthroplasty. Knee 27(2):580–586. https://doi.org/10.1016/j.knee.2019.12.010CrossRefPubMed

42.

Krause M, Hubert J, Deymann S et al (2018) Bone microarchitecture of the tibial plateau in skeletal health and osteoporosis. Knee 25(4):559–567. https://doi.org/10.1016/j.knee.2018.04.012CrossRefPubMed

43.

Simpson DJ, Price AJ, Gulati A, Murray DW, Gill HS (2009) Elevated proximal tibial strains following unicompartmental knee replacement—a possible cause of pain. Med Eng Phys 31:752–757. https://doi.org/10.1016/j.medengphy.2009.02.004CrossRefPubMed

44.

Berend ME, Small SR, Ritter MA, Buckley CA (2010) The effects of bone resection depth and malalignment on strain in the proximal tibia after total knee arthroplasty. J Arthroplasty 25(2):314–318. https://doi.org/10.1016/j.arth.2009.01.021CrossRefPubMed

45.

Chau R, Gulati A, Pandit H et al (2009) The Knee Tibial component overhang following unicompartmental knee replacement—does it matter ? Knee 16(5):310–313. https://doi.org/10.1016/j.knee.2008.12.017CrossRefPubMed

46.

Crawford DA, Berend KR, Thienpont E (2020) Unicompartmental knee arthroplasty US and global perspectives unicondylar unicompartmental knee arthroplasty global survival. Orthop Clin 51(2):147–159. https://doi.org/10.1016/j.ocl.2019.11.010CrossRef

47.

Yang K-Y, Yeo S-J, Lo N-N (2003) Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases. J Arthroplasty 18(6):801–803CrossRef

48.

Lindstrand A, Stenström A, Ryd L, Toksvig-Larsen S (2000) The introduction period of unicompartmental knee arthroplasty is critical: a clinical, clinical multicentered, and radiostereometric study of 251 Duracon unicompartmental knee arthroplasties. J Arthroplasty 15(5):608–616CrossRef

49.

Sloper PJH, Hing CB, Donell ST, Glasgow MMS (2003) Intra-operative tibial plateau fracture during unicompartmental knee replacement: a case report. Knee 10(4):367–369CrossRef

50.

Pandit H, Murray DW, Dodd CAF et al (2007) Medial tibial plateau fracture and the Oxford unicompartmental knee. Orthopedics 30(5 Suppl):28–31PubMed

51.

Brumby SA, Carrington R, Zayontz S, Reish T, Scott RD (2003) Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes. J Arthroplasty 18(6):809–812. https://doi.org/10.1016/S0883-5403(03)00330-9CrossRefPubMed

52.

Leenders AM, Schotanus MGM, Wind RJP, Borghans RAP, Kort NP (2018) A high rate of tibial plateau fractures after early experience with patient-specific instrumentation for unicompartmental knee arthroplasties. Knee Surg Sport Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-4956-9CrossRef

53.

Macdonald W, Swarts E, Beaver R (1993) Penetration and shear strength of cement-bone interfaces in vivo. Clin Orthop Relat Res 283–288. https://doi.org/10.1097/00003086-199301000-00041

54.

Scheele C, Pietschmann MF, Schröder C et al (2017) Effect of lavage and brush preparation on cement penetration and primary stability in tibial unicompartmental total knee arthroplasty: an experimental cadaver study. Knee 24(2):402–408. https://doi.org/10.1016/j.knee.2016.09.015CrossRefPubMed

55.

Hsu RW, Himeno S, Coventry MB, Chao EY (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee. Clin Orthop Relat Res 255:215–227CrossRef

56.

Sabzevari S, Ebrahimpour A, Roudi MK, Kachooei AR (2016) High tibial osteotomy: a systematic review and current concept. Arch Bone Jt Surg 4(3):204–212. https://doi.org/10.22038/abjs.2016.7149CrossRefPubMedPubMedCentral

57.

Rudran B, Little C, Wiik A, Logishetty K (2020) Tibial plateau fracture: anatomy, diagnosis and management. Br J Hosp Med 81(10):1–9. https://doi.org/10.12968/hmed.2020.0339CrossRef

58.

Prat-Fabregat S, Camacho-Carrasco P (2016) Treatment strategy for tibial plateau fractures: an update. EFORT Open Rev 1(5):225–232. https://doi.org/10.1302/2058-5241.1.000031CrossRefPubMedPubMedCentral

59.

Roberts BC, Thewlis D, Solomon LB, Mercer G, Reynolds KJ, Perilli E (2017) Systematic mapping of the subchondral bone 3D microarchitecture in the human tibial plateau: variations with joint alignment. J Orthop Res 35(9):1927–1941. https://doi.org/10.1002/jor.23474CrossRefPubMed

60.

Pandit H, Jenkins C, Barker K, Dodd CAF, Murray DW (2006) The Oxford medial unicompartmental knee replacement using a minimally-invasive approach. J Bone Joint Surg Br 88B(1):54–60. https://doi.org/10.1302/0301-620X.88B1.17114CrossRef

61.

Perkins TR, Gunckle W (2002) Unicompartmental knee arthroplasty: 3- to 10-year results in a community hospital setting. J Arthroplasty 17(3):293–297. https://doi.org/10.1054/arth.2002.30413CrossRefPubMed

62.

Gerweck AV, Harrington LM, Breggia A, Rosen CJ, Miller KK (2011) Determinants of bone mineral density in obese premenopausal women. Bone 48(4):748–754. https://doi.org/10.1016/j.bone.2010.12.011.DeterminantsCrossRefPubMed

63.

Bredella MA, Lin E, Gerweck AV et al (2012) Determinants of bone microarchitecture and mechanical properties in obese men. J Clin Endocrinol Metab 97(11):4115–4122. https://doi.org/10.1210/jc.2012-2246CrossRefPubMedPubMedCentral

64.

Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, Urquhart DM (2009) Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum 61(4):459–467. https://doi.org/10.1002/art.24336CrossRefPubMed

65.

Day JS, Ding M, Van Der Linden JC, Hvid I, Sumner DR, Weinans H (2001) A decreased subchondral trabecular bone tissue elastic modulus is associated with pre-arthritic cartilage damage. J Orthop Res 19(5):914–918. https://doi.org/10.1016/S0736-0266(01)00012-2CrossRefPubMed

66.

Ding M, Dalstra M, Danielsen CC, Kabel J, Hvid I, Linde F (1997) Age variations in the properties of human tibial trabecular bone. J Bone Jt Surg B 79(6):995–1002. https://doi.org/10.1302/0301-620X.79B6.7538CrossRef

67.

Ding M (2000) Age variations in the properties of human tibial trabecular bone and cartilage. Acta Orthop Scand Suppl 292:1–45. https://doi.org/10.1080/17453674.2000.11744841CrossRefPubMed

68.

Ding M, Odgaard A, Linde F, Hvid I (2002) Age-related variations in the microstructure of human tibial cancellous bone. J Orthop Res 20(3):615–621. https://doi.org/10.1016/S0736-0266(01)00132-2CrossRefPubMed

69.

Andriacchi TP (1994) Dynamics of knee malalignment. Orthop Clin North Am 25(3):395–403CrossRef

70.

Paley D (2005) Radiographic assessment of the lower limb deformities. In: Paley D (ed) Principles of deformity correction, pp 31–46. Springer

71.

Thienpont E, Parvizi J (2016) A new classification for the varus. Knee. https://doi.org/10.1016/j.arth.2016.03.034CrossRefPubMed

72.

Bellemans J, Colyn W, Vandenneucker H, Victor J (2012) The Chitranjan Ranawat Award: is neutral mechanical alignment normal for all patients?: the concept of constitutional varus. Clin Orthop Relat Res 470(1):45–53. https://doi.org/10.1007/s11999-011-1936-5CrossRefPubMed

73.

Kennedy WR, White RP (1987) Unicompartmental arthroplasty of the knee. Postoperative alignment and its influence on overall results. Clin Orthop Relat Res (221):278–285

74.

Small SR, Berend ME, Ritter MA, Buckley CA, Rogge RD (2011) Metal backing significantly decreases tibial strains in a medial unicompartmental knee arthroplasty model. J Arthroplasty 26(5):777–782. https://doi.org/10.1016/j.arth.2010.07.021CrossRefPubMed

75.

Scott CEH, Eaton MJ, Nutton RW, Wade FA, Pankaj P, Evans SL (2013) Proximal tibial strain in medial unicompartmental knee replacements: a biomechanical study of implant design. Bone Jt J 95B(10):1339–1347. https://doi.org/10.1302/0301-620X.95B10.31644CrossRef

76.

Completo A, Talaia P, Fonseca F, Simões JA (2009) Relationship of design features of stemmed tibial knee prosthesis with stress shielding and end-of-stem pain. Mater Des 30(4):1391–1397. https://doi.org/10.1016/j.matdes.2008.06.071CrossRef

77.

Escudier JC, Jacquet C, Flecher X, Parratte S, Ollivier M, Argenson JN (2019) Better implant positioning and clinical outcomes with a morphometric unicompartmental knee arthroplasty. Results of a retrospective, matched-controlled study. J Arthroplasty 34(12):2903–2908. https://doi.org/10.1016/j.arth.2019.07.031CrossRefPubMed

78.

Liddle AD, Pandit H, Judge A, Murray DW (2016) Effect of surgical caseload on revision rate following total and unicompartmental knee replacement. J Bone Jt Surg Am 98(1):1–8. https://doi.org/10.2106/JBJS.N.00487CrossRef

79.

Baker P, Jameson S, Critchley R, Reed M, Gregg P, Deehan D (2013) Center and surgeon volume influence the revision rate following unicondylar knee replacement an analysis of 23,400 medial cemented unicondylar knee replacements. J Bone Jt Surg A 95(8):702–709. https://doi.org/10.2106/JBJS.L.00520CrossRef

80.

Levine WN, Ozuna RM, Scott RD, Thornhill TS (1996) Conversion of failed modern unicompartmental arthroplasty to total knee arthroplasty. J Arthroplasty 11(7):797–801. https://doi.org/10.1016/S0883-5403(96)80179-3CrossRefPubMed

81.

Hanssen AD, Stuart MJ (2000) Treatment of periprosthetic tibial fractures. Clin Orthop Relat Res 380:91–98. https://doi.org/10.1097/00003086-200011000-00013CrossRef

82.

Seeger JB, Jaeger S, Röhner E, Dierkes H, Wassilew G, Clarius M (2013) Treatment of periprosthetic tibial plateau fractures in unicompartmental knee arthroplasty: plates versus cannulated screws. Arch Orthop Trauma Surg 133(2):253–257. https://doi.org/10.1007/s00402-012-1649-6CrossRefPubMed

Titel: Periprosthetic fractures after medial unicompartmental knee arthroplasty: a narrative review
verfasst von: L. Thoreau
D. Morcillo Marfil
E. Thienpont
Publikationsdatum: 15.07.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2022
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-04063-z

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Periprosthetic fractures after medial unicompartmental knee arthroplasty: a narrative review

Abstract

Introduction

Materials and methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

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„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Update Orthopädie und Unfallchirurgie

Die Highlights vom Kongress des American College of Cardiology 2024

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Abstract

Introduction

Materials and methods

Results

Conclusion

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