Pannu TS, Villa JM, Cohen E, et al. - This study was undertaken to investigate the clinical outcomes in periprosthetic tibial fractures after a total knee arthroplasty (TKA) which were treated with different treatment options. Researchers conducted a retrospective review on a consecutive series of 34 non-tumor patients treated at two academic institutions who experienced periprosthetic tibial fractures (PTx) after TKA [2008-2016]. They applied Felix classification to categorize fractures [Felix=I-II-III; subgroup=A-B-C] which were treated by either closed-reduction, open-reduction/internal-fixation, revision-TKA, or proximal-tibial-replacement. After a TKA, periprosthetic tibial fractures are correlated with high revision and readmission rates. The data suggested that individuals with Felix type I fractures are at higher risk of postoperative non-surgical complications and anemia requiring transfusion. This study’s findings demonstrate that fractures treated with proximal tibial replacement are more likely to develop postoperative infections and undergo revision surgery.