{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T18:10:25Z","timestamp":1793211025534,"version":"4.5.0"},"reference-count":76,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Periprosthetic distal femoral fracture after total knee arthroplasty carries substantial morbidity and mortality regardless of fixation technique.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Surgical treatment is favored in most patients compared with conservative therapy because of high rates of nonunion, malunion, and reoperation after casting or bracing.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Internal fixation techniques including retrograde intramedullary nailing and locked plating are favored for surgical treatment in most fractures when bone stock in the distal fragment allows for appropriate fixation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb In the setting of deficient distal femoral bone stock or femoral component loosening, revision arthroplasty with distal femoral replacement is the favored technique.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Further studies with regard to the use of intramedullary nailing, locked plating, and distal femoral replacement are necessary to refine the indications for each technique and to define the use of combinations of these fixation techniques.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.20.00003","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T15:00:09Z","timestamp":1600873209000},"page":"e20.00003-e20.00003","source":"Crossref","is-referenced-by-count":25,"title":["The Treatment of Periprosthetic Distal Femoral Fractures After Total Knee Replacement"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4628-8081","authenticated-orcid":false,"given":"David A.","family":"Quinzi","sequence":"first","affiliation":[{"name":"Center for Musculoskeletal Research (B.F.R.), Department of Orthopedic Surgery (D.A.Q., S.C., J.S.L., S.P.S., and B.F.R.), University of Rochester School of Medicine, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5968-5740","authenticated-orcid":false,"given":"Sean","family":"Childs","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Research (B.F.R.), Department of Orthopedic Surgery (D.A.Q., S.C., J.S.L., S.P.S., and B.F.R.), University of Rochester School of Medicine, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1535-5600","authenticated-orcid":false,"given":"Jason S.","family":"Lipof","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Research (B.F.R.), Department of Orthopedic Surgery (D.A.Q., S.C., J.S.L., S.P.S., and B.F.R.), University of Rochester School of Medicine, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2211-2658","authenticated-orcid":false,"given":"Sandeep P.","family":"Soin","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Research (B.F.R.), Department of Orthopedic Surgery (D.A.Q., S.C., J.S.L., S.P.S., and B.F.R.), University of Rochester School of Medicine, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9384-4840","authenticated-orcid":false,"given":"Benjamin F.","family":"Ricciardi","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Research (B.F.R.), Department of Orthopedic Surgery (D.A.Q., S.C., J.S.L., S.P.S., and B.F.R.), University of Rochester School of Medicine, Rochester, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,9]]},"reference":[{"issue":"2","key":"r1-20230807","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.arth.2017.09.041","article-title":"Failure after modern total knee arthroplasty: a prospective study of 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