Supracondylar fractures above a total knee arthroplasty. A novel use of the Huckstepp nail.
A displaced supracondylar fracture of the femur above a total knee arthroplasty (TKA) was treated with a Huckstepp intramedullary nail (Down Surgical, Mitcham, Surrey). The nail was firmly engaged over the tip of the intramedullary stem of the femoral component, establishing fracture alignment and providing enough stability against displacement, angulation, and shortening to allow fracture union. This technique can be applied to any periprosthetic fracture involving a stemmed femoral component.
Department of Orthopaedic Surgery, St. George Hospital, Sydney, Australia.
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Sekel
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Newman
D000368:Aged; D001858:Bone Nails; D001864:Bone Wires; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D007720:Knee Prosthesis; D011859:Radiography; D012086:Reoperation