Femoral Periprosthetic Fractures: Nonoperative Treatment

Moran, Michael C.

doi:10.1007/0-387-21714-2_71

Cited by 1 publication

(1 citation statement)

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“…Surgical management is considered superior to conservative treatment because the latter is associated with prolonged immobilization and carries increased risks of nonunion and reoperation [ 2 ]. Although nonsurgical management avoids perioperative complications, Moran et al mentions that 12-40% of the cases managed nonoperatively resulted in nonunion, and 15-30% of cases required reoperation [ 12 ]. Also, progression from nondisplaced to displaced fractures ensued in many cases, which required close radiologic follow-up [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates

Moukarzel

Aouad

Daher

et al. 2021

Case Reports in Orthopedics

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Supracondylar periprosthetic femoral fractures occurring above total knee replacements have been considered a rare entity. However, they continue to increase in frequency with the increasing number of arthroplasties and the improvement in morbidity and mortality in the concerned patient population. The management of periprosthetic distal femoral fractures is a challenging orthopedic problem. In this brief communication, a case of 49-year-old woman with rheumatoid arthritis who sustained a low distal comminuted periprosthetic femoral fracture is presented. Her fracture was eventually managed with an intramedullary fibular strut allograft and bilateral locking plate placement reaching satisfactory healing and restoration of alignment. The primary aim of this report is to provide insight into this novel technique as a successful alternative to other standard surgical options.

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Section: Discussionmentioning

confidence: 99%