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1. Fracture around the knee in the geriatric population: fix or replace ?
2. Case 1
3. Treatment options
4. Treatment options
5. Decision for ORIF with lateral plate
6. Uneventful healing with good function at latest FU
7. Case 2
8. Treatment options
9. Treatment options
10. Decision to do a distal femur replacement
11. Another fall 2 months later...
12. Treatment options
13. Treatment options
14. Conservative treatment by long-leg cast
15. Case 3
16. Decision for TKR: patient happy until…
17. … 3 years later: falls again…
18. Treatment options
19. Treatment options
20. Decision for ORIF
21. Post-op X-Rays
22. 6 week FU
23. Another year later
24. What now?
25. Treatment options
26. Treatment options
27. We did partial MR & Distal femur replacement
28. At latest FU
29. Case 4
30. Treatment options
31. Treatment options
32. ORIF + bone grafting
33. At latest FU (2,5 years)
34. Case 5
35. Treatment options
36. Treatment options
37. Spanning external fixator
38. At 1 year FU
39. Decision for a TKR
40. At latest (3 years) FU
41. Case 6
42. Treatment options
43. Treatment options
44. Decision for primary TKR
45. Uneventful FU at 1 year
46. Geriatric fractures around the knee
47. Treatment goals
48. Treatment goals
49. More information…
50. Treatment options
51. Conservative
52. Fracture fixation
53. => Complication rates up to 41%
54. Solutions
55. Posttraumatic arthritis
56. Primary Total Knee Replacement
57. Primary Total Knee Replacement Cons:
58. Primary Total Knee Replacement Cons:
59. Primary Total Knee Replacement Cons:
60. Revision Total Knee Replacement
61. Distal Femoral Replacement
62. Take Home Messages
Fracture autour du genou personne âgée, Dr Eric Thein, 10.12.2020
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