Periprosthetic supracondylar femur fractures following total knee arthroplasty

Hari P. Bezwada; Phillip Neubauer; John Baker; Craig L. Israelite; Norman A. Johanson

doi:10.1016/j.arth.2003.12.078

Periprosthetic supracondylar femur fractures following total knee arthroplasty

Hari P. Bezwada, Phillip Neubauer, John Baker, Craig L. Israelite, Norman A. Johanson

Research output: Contribution to journal › Article › peer-review

61 Scopus citations

Abstract

Periprosthetic supracondylar femur fractures following total knee arthroplasty (TKA) are an infrequent, but devastating, complication. From 1998 to 2000, we treated 30 supracondylar femur fractures above TKAs. Eighteen fractures were managed with retrograde intramedullary rod fixation (FIMR) and the other 12 fractures with traditional open reduction with internal fixation (ORIF). Follow-up averaged 3 years, with Knee Society knee scores being 84 and 82, respectively. Complications included 1 above-knee amputation for deep sepsis and 1 nonunion with varus alignment. FIMR appears to be the treatment of choice when it is feasible. However, traditional ORIF also may yield satisfactory results in those designs that cannot accommodate retrograde FIMR fixation.

Original language	English (US)
Pages (from-to)	453-458
Number of pages	6
Journal	Journal of Arthroplasty
Volume	19
Issue number	4
DOIs	https://doi.org/10.1016/j.arth.2003.12.078
State	Published - Jun 2004
Externally published	Yes

Keywords

fracture
periprosthetic
supracondylar
total knee arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2003.12.078

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title = "Periprosthetic supracondylar femur fractures following total knee arthroplasty",

abstract = "Periprosthetic supracondylar femur fractures following total knee arthroplasty (TKA) are an infrequent, but devastating, complication. From 1998 to 2000, we treated 30 supracondylar femur fractures above TKAs. Eighteen fractures were managed with retrograde intramedullary rod fixation (FIMR) and the other 12 fractures with traditional open reduction with internal fixation (ORIF). Follow-up averaged 3 years, with Knee Society knee scores being 84 and 82, respectively. Complications included 1 above-knee amputation for deep sepsis and 1 nonunion with varus alignment. FIMR appears to be the treatment of choice when it is feasible. However, traditional ORIF also may yield satisfactory results in those designs that cannot accommodate retrograde FIMR fixation.",

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TY - JOUR

T1 - Periprosthetic supracondylar femur fractures following total knee arthroplasty

AU - Bezwada, Hari P.

AU - Neubauer, Phillip

AU - Baker, John

AU - Israelite, Craig L.

AU - Johanson, Norman A.

PY - 2004/6

Y1 - 2004/6

N2 - Periprosthetic supracondylar femur fractures following total knee arthroplasty (TKA) are an infrequent, but devastating, complication. From 1998 to 2000, we treated 30 supracondylar femur fractures above TKAs. Eighteen fractures were managed with retrograde intramedullary rod fixation (FIMR) and the other 12 fractures with traditional open reduction with internal fixation (ORIF). Follow-up averaged 3 years, with Knee Society knee scores being 84 and 82, respectively. Complications included 1 above-knee amputation for deep sepsis and 1 nonunion with varus alignment. FIMR appears to be the treatment of choice when it is feasible. However, traditional ORIF also may yield satisfactory results in those designs that cannot accommodate retrograde FIMR fixation.

AB - Periprosthetic supracondylar femur fractures following total knee arthroplasty (TKA) are an infrequent, but devastating, complication. From 1998 to 2000, we treated 30 supracondylar femur fractures above TKAs. Eighteen fractures were managed with retrograde intramedullary rod fixation (FIMR) and the other 12 fractures with traditional open reduction with internal fixation (ORIF). Follow-up averaged 3 years, with Knee Society knee scores being 84 and 82, respectively. Complications included 1 above-knee amputation for deep sepsis and 1 nonunion with varus alignment. FIMR appears to be the treatment of choice when it is feasible. However, traditional ORIF also may yield satisfactory results in those designs that cannot accommodate retrograde FIMR fixation.

KW - fracture

KW - periprosthetic

KW - supracondylar

KW - total knee arthroplasty

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ER -

Periprosthetic supracondylar femur fractures following total knee arthroplasty

Abstract

Keywords

ASJC Scopus subject areas

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