Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction

Overview

Journal Case Rep Orthop

Publisher Wiley

Specialty Orthopedics

Date 2019 May 4

PMID 31049236

Citations 1

Authors

Anthony Gemayel

Matthew J Yousif

William Padget

Joseph Finch

Affiliations

Soon will be listed here.

Abstract

Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a distal femoral replacement and successfully returned to her preoperative function.

Citing Articles

Intra-operative fractures in primary total knee arthroplasty - a systematic review.

Purudappa P, Ramanan S, Tripathy S, Varatharaj S, Mounasamy V, Sambandam S Knee Surg Relat Res. 2020; 32(1):40.

PMID: 32778166 PMC: 7419217. DOI: 10.1186/s43019-020-00054-3.

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