Repair of supracondylar femur fracture and unilateral knee replacement at the same surgery.
In patients who are candidates for a total knee arthroplasty and suffer a periarticular fracture of the femur, the arthroplasty may be performed after bony union of the fracture or immediately, in conjunction with the fracture repair. Herein we present the case of a sixty-year-old female with rheumatoid arthritis and a supracondylar fracture of the right femur in whom total knee arthroplasty and retrograde nail insertion were addressed at one surgery; the outcome was favorable. The transverse extraarticular fracture pattern in this patient was advantageous for simultaneous procedures; had the fracture been more comminuted or intraarticular, it might not have been possible to perform both procedures at the same time.
Department of Orthopaedic Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298, USA.
R H
RH
Patterson
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M
Earll
D000058:Accidental Falls; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome