Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty
Abstract Management of periprosthetic fractures between ipsilateral total knee arthroplasty (TKA) and total hip arthroplasty (THA) is difficult, and is further complicated in the setting of poor femoral bone stock. We present a case of supracondylar fracture between THA and long-stemmed TKA femoral...
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Veröffentlicht in: | The knee 2014-03, Vol.21 (2), p.594-596 |
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creator | Newman, Erik T Hug, Kevin T Wellman, Samuel S Bolognesi, Michael P Kelley, Scott S |
description | Abstract Management of periprosthetic fractures between ipsilateral total knee arthroplasty (TKA) and total hip arthroplasty (THA) is difficult, and is further complicated in the setting of poor femoral bone stock. We present a case of supracondylar fracture between THA and long-stemmed TKA femoral components in a patient with rheumatoid arthritis, deficient metaphyseal bone stock, and recurrent fractures. A long custom intramedullary intercalating component was devised to link the well-fixed existing THA stem to a revision distal femoral component. The resulting construct was stable and allowed for full weight-bearing ambulation, representing a useful treatment option in the management of periprosthetic fractures between revision TKA and well-fixed THA. |
doi_str_mv | 10.1016/j.knee.2012.11.007 |
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We present a case of supracondylar fracture between THA and long-stemmed TKA femoral components in a patient with rheumatoid arthritis, deficient metaphyseal bone stock, and recurrent fractures. A long custom intramedullary intercalating component was devised to link the well-fixed existing THA stem to a revision distal femoral component. The resulting construct was stable and allowed for full weight-bearing ambulation, representing a useful treatment option in the management of periprosthetic fractures between revision TKA and well-fixed THA.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2012.11.007</identifier><identifier>PMID: 23266136</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Arthritis, Rheumatoid - complications ; Arthroplasty ; Arthroplasty, Replacement, Hip ; Arthroplasty, Replacement, Knee ; Female ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - etiology ; Femoral Fractures - surgery ; Fracture ; Fracture Fixation, Intramedullary - methods ; Humans ; Infections ; Intramedullary fixation ; Joint surgery ; Knee ; Orthopedics ; Periprosthetic Fractures - diagnostic imaging ; Periprosthetic Fractures - etiology ; Periprosthetic Fractures - surgery ; Prostheses ; Radiography ; Recurrence ; Rheumatoid arthritis ; Surgery</subject><ispartof>The knee, 2014-03, Vol.21 (2), p.594-596</ispartof><rights>2012</rights><rights>Copyright © 2012. Published by Elsevier B.V.</rights><rights>Copyright Elsevier Limited Mar 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-fbb7c1a6d2bacec577f97cfd674ea36712ce9888f5ae4245c3d98858eb03d8f43</citedby><cites>FETCH-LOGICAL-c439t-fbb7c1a6d2bacec577f97cfd674ea36712ce9888f5ae4245c3d98858eb03d8f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.knee.2012.11.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23266136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newman, Erik T</creatorcontrib><creatorcontrib>Hug, Kevin T</creatorcontrib><creatorcontrib>Wellman, Samuel S</creatorcontrib><creatorcontrib>Bolognesi, Michael P</creatorcontrib><creatorcontrib>Kelley, Scott S</creatorcontrib><title>Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty</title><title>The knee</title><addtitle>Knee</addtitle><description>Abstract Management of periprosthetic fractures between ipsilateral total knee arthroplasty (TKA) and total hip arthroplasty (THA) is difficult, and is further complicated in the setting of poor femoral bone stock. 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The resulting construct was stable and allowed for full weight-bearing ambulation, representing a useful treatment option in the management of periprosthetic fractures between revision TKA and well-fixed THA.</description><subject>Adult</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthroplasty</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - etiology</subject><subject>Femoral Fractures - surgery</subject><subject>Fracture</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Humans</subject><subject>Infections</subject><subject>Intramedullary fixation</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Orthopedics</subject><subject>Periprosthetic Fractures - diagnostic imaging</subject><subject>Periprosthetic Fractures - etiology</subject><subject>Periprosthetic Fractures - surgery</subject><subject>Prostheses</subject><subject>Radiography</subject><subject>Recurrence</subject><subject>Rheumatoid arthritis</subject><subject>Surgery</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhS0EotPCC7BAltiwSfBP4iQSQqpGFJAqsQDWlmNfU08Te7CdlnkfHhRHU4rogpV95e8cXd9zEXpBSU0JFW929bUHqBmhrKa0JqR7hDa073jV9oQ8RhsyiL4qJDlBpyntCCFiaNqn6IRxJgTlYoN-bZeUw4ydz1HNYJZpUvGwlhC1mlR2_js2cOM0YBsizhFUnsFnHCxOyz4qHbw5FBG25Z6XCHiEfAvgcXlJxdV5MDiHrCa89otVzFcx7CeV8gErb_AtTFNl3c977Mrt_6GeoSdWTQme351n6NvF-6_bj9Xl5w-ftueXlW74kCs7jp2mShg2Kg267To7dNoa0TWguOgo0zD0fW9bBQ1rWs1NKdseRsJNbxt-hl4fffcx_FggZTm7pEt3ykNYkqQtbRreDv1Q0FcP0F1Yoi_drRRrSCuGrlDsSOkYUopg5T66uQxYUiLXDOVOrjORa4aSUlkyLKKXd9bLWBK5l_wJrQBvjwCUWdw4iDJpB16DcRF0lia4__u_eyDXk_OupH0NB0h__yETk0R-WbdoXSLKCGFs4Pw3LarHnQ</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Newman, Erik T</creator><creator>Hug, Kevin T</creator><creator>Wellman, Samuel S</creator><creator>Bolognesi, Michael P</creator><creator>Kelley, Scott S</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty</title><author>Newman, Erik T ; Hug, Kevin T ; Wellman, Samuel S ; Bolognesi, Michael P ; Kelley, Scott S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-fbb7c1a6d2bacec577f97cfd674ea36712ce9888f5ae4245c3d98858eb03d8f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthroplasty</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Female</topic><topic>Femoral Fractures - diagnostic imaging</topic><topic>Femoral Fractures - etiology</topic><topic>Femoral Fractures - surgery</topic><topic>Fracture</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Humans</topic><topic>Infections</topic><topic>Intramedullary fixation</topic><topic>Joint surgery</topic><topic>Knee</topic><topic>Orthopedics</topic><topic>Periprosthetic Fractures - diagnostic imaging</topic><topic>Periprosthetic Fractures - etiology</topic><topic>Periprosthetic Fractures - surgery</topic><topic>Prostheses</topic><topic>Radiography</topic><topic>Recurrence</topic><topic>Rheumatoid arthritis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newman, Erik T</creatorcontrib><creatorcontrib>Hug, Kevin T</creatorcontrib><creatorcontrib>Wellman, Samuel S</creatorcontrib><creatorcontrib>Bolognesi, Michael P</creatorcontrib><creatorcontrib>Kelley, Scott S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newman, Erik T</au><au>Hug, Kevin T</au><au>Wellman, Samuel S</au><au>Bolognesi, Michael P</au><au>Kelley, Scott S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>21</volume><issue>2</issue><spage>594</spage><epage>596</epage><pages>594-596</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>Abstract Management of periprosthetic fractures between ipsilateral total knee arthroplasty (TKA) and total hip arthroplasty (THA) is difficult, and is further complicated in the setting of poor femoral bone stock. We present a case of supracondylar fracture between THA and long-stemmed TKA femoral components in a patient with rheumatoid arthritis, deficient metaphyseal bone stock, and recurrent fractures. A long custom intramedullary intercalating component was devised to link the well-fixed existing THA stem to a revision distal femoral component. The resulting construct was stable and allowed for full weight-bearing ambulation, representing a useful treatment option in the management of periprosthetic fractures between revision TKA and well-fixed THA.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>23266136</pmid><doi>10.1016/j.knee.2012.11.007</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Arthritis, Rheumatoid - complications Arthroplasty Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Female Femoral Fractures - diagnostic imaging Femoral Fractures - etiology Femoral Fractures - surgery Fracture Fracture Fixation, Intramedullary - methods Humans Infections Intramedullary fixation Joint surgery Knee Orthopedics Periprosthetic Fractures - diagnostic imaging Periprosthetic Fractures - etiology Periprosthetic Fractures - surgery Prostheses Radiography Recurrence Rheumatoid arthritis Surgery |
title | Custom intramedullary intercalating device for treatment of supracondylar fracture between constrained total knee arthroplasty and well-fixed total hip arthroplasty |
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