title: Supracondylar femur fracture above a mature knee fusion treated with a long locked intramedullary rod.
abstract: Fracture around a mature knee fusion has been reported in the orthopedic literature, but little has been written regarding treatment options. Closed long anterograde rodding with interlocking screws offers distinct advantages over other methods of reduction and fixation. The closed nature of the procedure avoids excessive soft-tissue stripping. In comparison with a short unlocked rod or plate, the long locked rod imparts more stability and prevents shortening and rotation. We present a case of a supracondylar femur fracture above a mature knee fusion treated in this manner. The literature on this injury is also reviewed.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania Medical Center, Philadelphia, USA.
authors.forename: P S
authors.initials: PS
authors.lastname: Chan
authors.forename: W T
authors.initials: WT
authors.lastname: Luchetti
authors.forename: J T
authors.initials: JT
authors.lastname: Campbell
authors.forename: E J
authors.initials: EJ
authors.lastname: Vresilovic
mesh_terms: D001174:Arthrodesis; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*