title: Supracondylar femoral fracture above a PFC posterior cruciate-substituting total knee arthroplasty treated with supracondylar nailing. A unique technical problem.
abstract: Supracondylar fracture above a total knee arthroplasty with a posterior cruciate-substituting design presents a challenging problem to the orthopaedic surgeon. The standard treatment using a intramedullary rod is made difficult by the design of the PFC cruciate-substituting total knee arthroplasty (Johnson & Johnson Orthopaedics, Raynham, MA), which prevents entry of a standard supracondylar nail to the medullary canal of the femur. A technique for using an interlocking intramedullary rod to treat a supracondylar fracture above a posterior cruciate-substituting total knee arthroplasty is described. A case is presented illustrating this technique.
authors.affiliation: Center for Total Joint Replacement, Lenox Hill Hospital, New York, NY 10021, USA.
authors.forename: R N
authors.initials: RN
authors.lastname: Maniar
authors.forename: M E
authors.initials: ME
authors.lastname: Umlas
authors.forename: J A
authors.initials: JA
authors.lastname: Rodriguez
authors.forename: C S
authors.initials: CS
authors.lastname: Ranawat
mesh_terms: D001858:Bone Nails; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged