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Periprosthetic fractures after total knee arthroplasty occur as a result of low energy trauma usually compounding some surgical pitfalls and patient related factors. Patient and technique related predisposing factors are osteopenia, osteolysis, malalignment, anterior femoral notching, poor flexion (stiff knee), corticosteroid use, rheumatoid arthritis, myasthenia gravis and cerebral palsy.
Citation:https://www.omicsgroup.org/journals/expandable-retrograde-nail-for-femoral-fracture-above-a-total-knee-replacement-2167-1222.1000123.php?aid=5098