Periprosthetic Supracondylar Femoral Fractures Above a Total Knee Replacement: Compatibility Guide for Fixation With a Retrograde Intramedullary Nail

Thompson, S.M.; Lindisfarne, E.A.O.; Bradley, N. W.; Solan, Matthew

doi:10.1016/j.arth.2013.07.027

Cited by 36 publications

(17 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…45 While plate fixation is usually an option, the design and size of the intercondylar notch of the femoral implant may preclude the passing of a retrograde nail in many designs. 46 Retrograde femoral nailing in this patient group also has good outcome with union usually occurring within 3 months. 47 With either fixation method, concerns include the site of the original scar/vascularity of flaps, the position of screws and the need for graft and whether to consider minimal access surgery.…”

Section: Retrograde Im Fixationmentioning

confidence: 99%

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

Atrey

Hussain²,

Gosling³

et al. 2017

Journal of Orthopaedics

View full text Add to dashboard Cite

Introduction: Although the use of an endoprosthesis for distal femoral fractures remains a valid treatment option the widespread use is in its infancy. Methodology: In this retrospective case series, we review cases of distal femoral fracture treated with endoprosthetic replacement (EPR). The outcomes we assessed were the time to start mobilising, the time to discharge, morbidity and mortality as well as an Oxford knee score to assess pain and function and also the early survivorship. 6 of the 11 from the cohort had existing Total Knee Replacements (TKRs) in situ. Results: There were 11 knees in our cohort with a mean age of 81.5 years (range 52-102 years). The median time to follow up was 3.5 years (range 1.6 to 5.5 years). The median times to theatre was 3 days and to discharge was 16 days. Oxford functional and pain scores were 32/48. Discussion: In the appropriate patient and fracture pattern, Endoprosthetic knee replacement is an excellent option in the treatment of distal femoral fractures whether associated with an existing TKR or not. The implant is more costly than traditional open reduction and internal fixation, but the earlier return to full mobility post-operatively may save on hospital/care home stay and free up hospital space and minimise complications.

show abstract

Section: Retrograde Im Fixationmentioning

confidence: 99%

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

Atrey

Hussain²,

Gosling³

et al. 2017

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

“…A review performed by Ristevski et al[ 3 ] found favourable results with the use of retrograde intramedullary nailing and locked plating over conservatively managed fractures and those treated with conventional plating. However, in many cases the choice of fixation technique is influenced by factors such as the presence of a box in the femoral component to facilitate retrograde nailing[ 5 ], distal extent of the fracture, availability of existing bone stock and fix of the components. Good results have been reported with the use of site-specific locking plates[ 6 - 8 ], such as the Less Invasive Stabilization System (DePuy Synthes, Switzerland).…”

Section: Discussionmentioning

confidence: 99%

Managing extremely distal periprosthetic femoral supracondylar fractures of total knee replacements - a new PHILOS-ophy

Donnelly

Tucker

Ruiz

et al. 2017

WJO

View full text Add to dashboard Cite

We report two cases where a proximal humeral locking plate was used for the fixation of an extremely distal, type III peri-prosthetic femoral fractures in relation to a total knee replacement (TKR). In each case there was concern regarding the fixation that could be achieved using the available anatomic distal femoral plates due to the size and bone quality of distal fragment. The design of the Proximal Humeral Internal Locking System (PHILOS) allows nine 3.5-mm locking screws to be placed over a small area in multiple directions. This allowed a greater number of fixation points to be achieved in the distal fragment. Clinical and radiological short-term follow-up (6-12 mo) has been satisfactory in both cases with no complications. We suggest the use of this implant for extremely distal femoral fractures arising in relation to the femoral component of a TKR.

show abstract

“…Whilst locking plates have the benefi t of allowing a more anatomical reduction, there is less soft tissue dissection involved with intramedullary nailing (although this is mitigated in part in minimally invasive plating techniques). Retrograde nailing can only be employed in implants with open intercondylar notches of a suffi cient size to take a nail; a compatibility guide has recently been published to aid the identifi cation of such implants [ 33 ].…”

Section: Periprosthetic Femoral Fracturesmentioning

confidence: 99%

Periprosthetic Fractures

Liddle¹,

Rodríguez-Merchán²

2015

Total Knee Arthroplasty

View full text Add to dashboard Cite

Periprosthetic Supracondylar Femoral Fractures Above a Total Knee Replacement: Compatibility Guide for Fixation With a Retrograde Intramedullary Nail

Cited by 36 publications

References 4 publications

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

Managing extremely distal periprosthetic femoral supracondylar fractures of total knee replacements - a new PHILOS-ophy

Periprosthetic Fractures

Contact Info

Product

Resources

About