A custom-made prosthesis for the treatment of supracondylar femoral fractures after total knee arthroplasty: report of four cases.
Four supracondylar femoral fractures following total knee arthroplasty, two because of intraoperative notching of the anterior femoral cortex and two because of osteoporosis, were revised using a custom-made prosthesis with femoral condyle section. At 1-6 year follow-up (median 3 years) after the revision, all patients had an excellent clinical result, although 2 had a prolonged rehabilitation period because of severe osteoporosis. At roentgenographic examination, no signs of loosening of the prostheses at the cement-bone interface were present.
Madsen
F
F
Department of Orthopaedic Surgery, Orthopaedic Hospital, University of Aarhus, Denmark.
Kjaersgaard-Andersen
P
P
Juhl
M
M
Sneppen
O
O
D000368:Aged; D016025:Bone Transplantation; D004434:Early Ambulation; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects* / Q000379:methods / Q000534:rehabilitation; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D013514:Surgical Procedures, Operative