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Periprosthetic supracondylar femur fracture treated with spanning external fixation.

Authors
  • Refaat, Motasem
  • Coleman, Sheldon
  • Meehan, John P
  • Jamali, Amir A
Type
Published Article
Journal
American journal of orthopedics (Belle Mead, N.J.)
Publication Date
Feb 01, 2015
Volume
44
Issue
2
Pages
90–93
Identifiers
PMID: 25658079
Source
Medline
License
Unknown

Abstract

Periprosthetic supracondylar fractures of the femur after total knee arthroplasty represent a devastating complication for the patient and a technical challenge for the surgeon. Treatment is often complicated by advanced patient age, retained cement, and accompanying osteoporosis. We present the case of a 54-year-old woman with a comminuted fracture of the distal femur just above a total knee prosthesis. She had a complex past medical history, including extensive coronary artery disease, morbid obesity, chronic osteoporosis, anemia, diabetes, and rheumatoid arthritis. She was a Jehovah's Witness and thus refused all blood products. Given her medical history, religious preferences, and fracture comminution, a spanning external fixator was used. She completed fracture union with an excellent clinical and radiographic result at 2 years.

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