The number of locking screws predicts the risk of nonunion and reintervention in periprosthetic total knee arthroplasty fractures treated with a nail.

Toro-Ibarguen, Ainhoa; Moreno-Beamud, José-Antonio; Porras-Moreno, Miguel-Ángel; Aroca-Peinado, Miguel; León-Baltasar, José-Luis; Jorge-Mora, Alberto-Agustín · Eur J Orthop Surg Traumatol · 2015

retrospective_cohort · Level III

Where this comes from

Abstract

Periprosthetic knee fractures following total knee arthroplasty are increasing proportionally to the number of primary procedures done. We performed a retrospective review of Rorabeck type II fractures treated with a retrograde nail, trying to find the relationship between failure and the number of distal locking screws used. Twenty-six patients were included. The number of distal interlocking screws (patients with one or two distal interlocking screws and patients with three screws) correlated with nonunion (p < 0.1), did not correlate with the malunion rate (p > 0.1) and correlated with the reintervention rate (p < 0.1).

Medical subject headings

Anatomy