{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:39:32Z","timestamp":1760920772221,"version":"build-2065373602"},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,5,29]],"date-time":"2013-05-29T00:00:00Z","timestamp":1369785600000},"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":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The incidence of periprosthetic fractures after knee\u2010joint implant revisions is increasing in prevalence. We present a method of treatment for a patient who sustained a triple fracture\u2014a periprosthetic femur fracture, a patella fracture, and a tibial shaft fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The femoral fracture was treated with a specially designed intramedullary nail, the patella fracture with a figure\u2010of\u2010eight suture, and the tibial shaft fracture by a minimal\u2010invasive plate osteosynthesis using a percutaneous plating technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Osseous consolidation was confirmed, and the patient presented a satisfying range of movement under full\u2010weight\u2010bearing conditions after mobilisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Simultaneous multiple periprosthetic fractures are a special challenge, and in situ coupling of the endoprosthesis with a slotted hollow nail presents a valuable option for the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level V, Expert opinion.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-013-2538-4","type":"journal-article","created":{"date-parts":[[2013,5,28]],"date-time":"2013-05-28T01:14:06Z","timestamp":1369703646000},"page":"2662-2664","source":"Crossref","is-referenced-by-count":0,"title":["Triple fracture during rehabilitation after revision total knee arthroplasty"],"prefix":"10.1002","volume":"22","author":[{"given":"Christof","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Klinikum Saarbruecken Winterberg 1 66119 Saarbruecken Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabor","family":"Szalay","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Giessen University Hospital of Giessen and Marburg Rudolf\u2010Buchheim\u2010Strasse 7 35385 Giessen 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