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
Hauptverfasser: Newman, Erik T, Hug, Kevin T, Wellman, Samuel S, Bolognesi, Michael P, Kelley, Scott S
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container_end_page 596
container_issue 2
container_start_page 594
container_title The knee
container_volume 21
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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source MEDLINE; Elsevier ScienceDirect Journals Complete
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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