• Talal Al-Jabri, Mohamed Ridha, Robert Allan McCulloch, Chethan Jayadev, Babar Kayani, and Peter V Giannoudis.
• Trauma and Orthopaedic Surgery, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK; Joint Reconstruction Unit, The Royal National Orthopaedic Hospital, London, Stanmore HA7 4LP, UK; King Edward VII's Hospital, 5-10 Beaumont Street, Marylebone, London W1G 6AA, UK. Electronic address: tjresearcharticles@hotmail.com.
• Injury. 2023 Apr 1; 54 (4): 103010381030-1038.

AbstractWith a growing number of patients undergoing total knee replacements globally, coupled with an elderly population, the incidence of periprosthetic fractures around total knee replacements is increasing. As such, this is a highly topical subject that is gaining increasing interest within the orthopaedic community. This review provides a narrative synthesis of the most contemporary literature regarding distal femoral periprosthetic fractures. We review the related epidemiology, initial patient evaluation, the evolution and relevance of the classification systems and treatment options, particularly related to endoprosthetics and hybrid fixation constructs. The latest orthopaedic evidence related to this topic has been included.Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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