{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T16:29:59Z","timestamp":1793291399271,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,3,23]],"date-time":"2011-03-23T00:00:00Z","timestamp":1300838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>We report a continuous series of periprosthetic femoral fractures after knee arthroplasty treated with a locking plate. We hypothesize that minimally invasive surgery and immediate weight\u2010bearing improve functional recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2002 to December 2008, 15 patients with 16 fractures were treated. Median age was 81 years. The autonomy level according to the mobility score of Parker and Palmer showed a median of 5 (0\u20139). Osteosynthesis was performed mainly through a minimally invasive approach using a locking compression plate. The rehabilitation protocol consisted of immediate mobilization and, whenever possible, immediate unrestricted weight\u2010bearing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five patients died during follow\u2010up, more than 1 year after osteosynthesis. Their results were included. Autonomy and mobility were preserved with a median postoperative score of 4 (0\u20139) according to Parker and Palmer. The consolidation rate was 93.8%, which was obtained within 10 weeks. There were no mechanical or infectious complications. Fourteen cases were treated with minimally invasive surgery without fracture exposition; the remaining 2 required a slightly more extended approach. Full weight\u2010bearing occurred 10 times; 20\u2010kg partial weight\u2010bearing was advised twice; and on 4 occasions, no weight\u2010bearing was allowed for 6 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Osteosynthesis with a minimally invasive bridge\u2010plating technique is effective in the treatment of periprosthetic, distal femoral fractures without component loosening. Immediate full weight\u2010bearing is possible if certain rules are respected. The surgical management presented herein is beneficial for these challenging fractures, and it may help reduce the complication rate and improve functional outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-011-1480-6","type":"journal-article","created":{"date-parts":[[2011,3,22]],"date-time":"2011-03-22T04:55:43Z","timestamp":1300769743000},"page":"1473-1478","source":"Crossref","is-referenced-by-count":40,"title":["Treatment of periprosthetic femoral fractures of the knee"],"prefix":"10.1002","volume":"19","author":[{"given":"Matthieu","family":"Ehlinger","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie, H\u00f4pital de Hautepierre H\u00f4pitaux Universitaires de Strasbourg 1 Avenue Moli\u00e8re 67098 Strasbourg cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Adam","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie, H\u00f4pital de Hautepierre H\u00f4pitaux Universitaires de Strasbourg 1 Avenue Moli\u00e8re 67098 Strasbourg cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamine","family":"Abane","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie, H\u00f4pital de Hautepierre H\u00f4pitaux Universitaires de Strasbourg 1 Avenue Moli\u00e8re 67098 Strasbourg cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Rahme","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie, H\u00f4pital de Hautepierre H\u00f4pitaux Universitaires de Strasbourg 1 Avenue Moli\u00e8re 67098 Strasbourg cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beat Kaspar","family":"Moor","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie H\u00f4pital du Valais CHCVs 80 av Grand Champsec 1950 Sion Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvan","family":"Arlettaz","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie H\u00f4pital du Valais CHCVs 80 av Grand Champsec 1950 Sion Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Bonnomet","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Service de Chirurgie Orthop\u00e9dique et de Traumatologie, H\u00f4pital de Hautepierre H\u00f4pitaux Universitaires de Strasbourg 1 Avenue Moli\u00e8re 67098 Strasbourg cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,3,23]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.08.058"},{"key":"e_1_2_8_3_2","first-page":"S29","article-title":"Fractures p\u00e9riproth\u00e9tiques autour des proth\u00e8ses du genou et de la hanche","volume":"92","author":"Begue T","year":"2006","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01538"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2002.34817"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00408"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131\u2010200409000\u201000015"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318178417e"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.09.012"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.09.017"},{"key":"e_1_2_8_11_2","first-page":"26","article-title":"Traitement des fractures f\u00e9morales sur mat\u00e9riel par voie mini\u2010invasive et remise en charge imm\u00e9diate: apport des plaques \u00e0 vis bloqu\u00e9es (LCP). S\u00e9rie pr\u00e9liminaires","volume":"94","author":"Ehlinger M","year":"2008","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131\u2010199908000\u201000002"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000199119.38359.96"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.02.026"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.09.026"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453670710014716"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31802bb372"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010005\u20100075\u20104"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181c9ba3b"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(01)00185\u20101"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131\u2010200409000\u201000006"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2008.04.021"},{"key":"e_1_2_8_23_2","first-page":"776","article-title":"Periprosthetic femoral fractures: outcome after treatment with LISS internal fixation or stem replacement in 36 patients","volume":"75","author":"Maller M","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_8_24_2","first-page":"642","article-title":"The LISS plate treatment of supracondylar fractures above a total knee replacement: a case\u2010control study","volume":"75","author":"Norrish AR","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376443"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.84B8.13752"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.08.012"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131\u2010200603000\u201000005"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31806dd921"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B3.22996"},{"key":"e_1_2_8_31_2","first-page":"S57","article-title":"Classification radiologique des fractures autour des PTG","volume":"92","author":"Tricoire JL","year":"2006","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.09.023"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00113\u2010003\u20100723\u20105"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31818896b3"},{"key":"e_1_2_8_35_2","unstructured":"WoodGC NaudieDR McAuleyJ McCaldenRW(2010)Locking compression plates for the treatment of periprosthetic femoral fractures around well\u2010fixed total hip and knee implants.J Arthroplasty PMID 20817391"},{"key":"e_1_2_8_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131\u2010200409000\u201000004"},{"key":"e_1_2_8_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.01.102"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-011-1480-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-011-1480-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-011-1480-6","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T11:33:33Z","timestamp":1760873613000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-011-1480-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,23]]},"references-count":36,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1007\/s00167-011-1480-6"],"URL":"https:\/\/doi.org\/10.1007\/s00167-011-1480-6","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,23]]}}}