Table 1 Treatment recommendations in gradation with respect to the classification of the fracture
From: A new classification of TKA periprosthetic femur fractures considering the implant type
I | II | III | IV | |
|---|---|---|---|---|
A | Locking plate, retrograde nail, (antegrade nail) | Locking plate, retrograde nail, | Locking plate, revision arthroplasty (constraint endoprosthesis, eventually distal femoral replacement) | Revision arthroplasty (constraint endoprosthesis, eventually distal femoral replacement) |
B | Locking plate, antegrade nail | Locking plate, revision arthroplasty (distal femoral replacement, eventually constraint endoprosthesis) | revision arthroplasty (distal femoral replacement) | revision arthroplasty (distal femoral replacement) |
C | Locking plate (polyaxial, attachment plates), revision arthroplasty (distal femoral replacement) | Locking plate (polyaxial, attachment plates), revision arthroplasty (distal femoral replacement) | revision arthroplasty (distal femoral replacement) | revision arthroplasty (distal femoral replacement) |
D | Locking plate (polyaxial, attachment plates), revision arthroplasty (distal femoral replacement) | revision arthroplasty (distal femoral replacement), Locking plate (polyaxial, attachment plates), | revision arthroplasty (distal femoral replacement) | revision arthroplasty (distal femoral replacement) |