title: Supracondylar fracture of the femur after GUEPAR total knee arthroplasty. A new treatment method.
abstract: A 71-year-old woman incurred an unstable, comminuted supracondylar fracture of the femur above the tip of a GUEPAR prosthesis. The prosthesis was not loose. Immediate open reduction and internal fixation were performed using a segment cut from an intramedullary rod. This provided axial alignment and functioned as an internal stent with stable fixation of the fracture. Supplementary fixation with a plate and screws, cerclage wires, and an autogenous bone graft led to early mobilization, solid bony union, and an excellent functional result.
authors.affiliation: Division of Orthopaedic Surgery, St. Joseph's Hospital, Canada.
authors.forename: M W
authors.initials: MW
authors.lastname: Roscoe
authors.forename: S B
authors.initials: SB
authors.lastname: Goodman
authors.forename: J
authors.initials: J
authors.lastname: Schatzker
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis; D011474:Prosthesis Design
chemical_list: D001843:Bone Cements