Retrograde nailing for supracondylar fracture around total knee replacement: A compatibility study using the Trigen supracondylar nail

Currall, V.A.; Kulkarni, Milind G; Harries, W.

doi:10.1016/j.knee.2006.12.001

Cited by 33 publications

(21 citation statements)

References 18 publications

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“…32,39,40 Furthermore, intramedullary nailing is limited by the availability of distal bone stock, as well as the size and position of the femoral component notch. 41 Therefore, enlargement of the notch with a diamond burr is often required, raising concern about possible third-body wear. 42 Locked plating, on the other hand, allows for distal fixation regardless of the design of the femoral component and the presence of intramedullary implants.…”

Section: Discussionmentioning

confidence: 99%

Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?

Streubel

Gardner

Morshed

et al. 2010

The Journal of Bone and Joint Surgery. British volume

100

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It is unclear whether there is a limit to the amount of distal bone required to support fixation of supracondylar periprosthetic femoral fractures. This retrospective multicentre study evaluated lateral locked plating of periprosthetic supracondylar femoral fractures and compared the results according to extension of the fracture distal with the proximal border of the femoral prosthetic component. Between 1999 and 2008, 89 patients underwent lateral locked plating of a supracondylar periprosthetic femoral fracture, of whom 61 patients with a mean age of 72 years (42 to 96) comprising 53 women, were available after a minimum follow-up of six months or until fracture healing. Patients were grouped into those with fractures located proximally (28) and those with fractures that extended distal to the proximal border of the femoral component (33). Delayed healing and nonunion occurred respectively in five (18%) and three (11%) of more proximal fractures, and in two (6%) and five (15%) of the fractures with distal extension (p = 0.23 for delayed healing; p = 0.72 for nonunion, Fisher's exact test). Four construct failures (14%) occurred in more proximal fractures, and three (9%) in fractures with distal extension (p = 0.51). Of the two deep infections that occurred in each group, one resolved after surgical debridement and antibiotics, and one progressed to a nonunion. Extreme distal periprosthetic supracondylar fractures of the femur are not a contra-indication to lateral locked plating. These fractures can be managed with internal fixation, with predictable results, similar to those seen in more proximal fractures.

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Section: Discussionmentioning

confidence: 99%

Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?

Streubel

Gardner

Morshed

et al. 2010

The Journal of Bone and Joint Surgery. British volume

100

View full text Add to dashboard Cite

show abstract

“…The smallest diameter of the most commonly used classic RIMN's are usually 10 mm. Currall et al investigated the box size of 19 different femoral components from 10 different manufacturers [21].…”

Section: Discussionmentioning

confidence: 99%

Expandable Retrograde Nail for Femoral Fracture above a Total Knee Replacement

Türker¹,

Cetik²,

Durusoy³

2012

J Trauma Treatment

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“…Preoperative planning is extremely important to identify the type of prosthesis in situ to ensure that there is adequate access to the notch for entry into the canal. A recent study has looked at the most common prostheses used in the UK and developed a reference chart to facilitate this [6]. Of import, they also noted that notch position is probably more important than the notch size.…”

Section: Discussionmentioning

confidence: 99%

Supracondylar periprosthetic femoral fractures following total knee arthroplasty: treatment with a retrograde intramedullary nail

Chettiar

Jackson

Brewin

et al. 2008

International Orthopaedics (SICOT)

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Total knee replacement surgery is occasionally complicated by a supracondylar periprosthetic fracture, and this presents a challenging problem in an often frail population. Multiple nonoperative and operative treatments have been described which have the aim of restoring the patient to their pre-injury status. This study retrospectively reviews the results of the largest series to date of 14 such fractures treated by retrograde intramedullary supracondylar nailing and is supportive of its continued use with good functional outcomes, low complication rates, and 100% fracture union.Résumé Les prothèses totales du genou peuvent être occasionnellement compliquées par une fracture supra condylienne. De nombreuses méthodes thérapeutiques ont été décrites avec le but de restaurer l'état des patients avant la fracture. Une étude rétrospective sur une très large série de 14 fractures traitées par clous intramédullaires rétro-grades ont permis de mettre en évidence un devenir fonctionnel et un taux de complications très bas ainsi qu'un taux de consolidation de 100%.

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Retrograde nailing for supracondylar fracture around total knee replacement: A compatibility study using the Trigen supracondylar nail

Cited by 33 publications

References 18 publications

Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?

Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?

Expandable Retrograde Nail for Femoral Fracture above a Total Knee Replacement

Supracondylar periprosthetic femoral fractures following total knee arthroplasty: treatment with a retrograde intramedullary nail

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