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Table 1 Fracture Classification and Potential Management Options

From: Management of a tibial periprosthetic fracture following revision knee arthroplasty using a pulsed electromagnetic field stimulation device: a case report

Fracture Type

Possible Management

I Plateau

A (Fixed Prosthesis)

Non-operative

 

B (Loose Prosthesis)

Revision surgery: long-stemmed, modular components, bone graft.2-5

II Adjacent to Stem

A

Standard fracture Management principles

 

B

Revision surgery: use of bone graft3,6

III Distal to Stem

A

Standard fracture Management principles

 

B

Proximal: Longer stemmed component Distal: ORIF and delayed revision3,4

IV Tibial Tubercle

A

Standard fracture Management principles