PT  - JOURNAL ARTICLE
AU  - Satvik N Pai
AU  - Mohan M Kumar
TI  - Combination-type periprosthetic tibial fracture: Felix type (II+IV)A
AID  - 10.1136/bcr-2022-252464
DP  - 2023 Feb 01
TA  - BMJ Case Reports
PG  - e252464
VI  - 16
IP  - 2
4099  - http://casereports.bmj.com/content/16/2/e252464.short
4100  - http://casereports.bmj.com/content/16/2/e252464.full
SO  - BMJ Case Reports2023 Feb 01; 16
AB  - Tibial periprosthetic fractures are rare but present a complicated problem for orthopaedic surgeons. Literature in relation to combination-type periprosthetic fractures is extremely scarce, and there is limited guidance available on its treatment. We report the case of a woman in her 60s, whose radiographs revealed a periprosthetic fracture of the tibia, which was a Felix type (II+IV)A fracture. The tibial tuberosity fragment was fixed with a cannulated cancellous screw. The fracture adjacent to the stem was managed conservatively as the prosthesis was stable. Follow-up radiographs revealed both fractures to have healed completely by 12 weeks. The patient returned to preinjury functional levels by 4 months. Our demonstrated treatment of a Felix type II+IV periprosthetic fracture could be a viable treatment option for such fractures.