Periprosthetic supracondylar femur fractures following total knee arthroplasty

被引：61
|
作者：
Bezwada, HP
Neubauer, P
Baker, J
Israelite, CL
Johanson, NA
机构：
[1] Drexel Univ, Coll Med, Dept Orthopaed Surg, Philadelphia, PA 19104 USA
[2] Atlantic City Med Ctr, Atlantic, NJ USA
来源：
JOURNAL OF ARTHROPLASTY | 2004年 / 19卷 / 04期
关键词：
periprosthetic; fracture; supracondylar; total knee arthroplasty;
D O I：
10.1016/j.arth.2003.12.078
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
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. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码：453 / 458
页数：6
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