title: A new operative procedure using a Küntcher nail for a periprosthetic supracondylar femoral fracture after revision total knee arthroplasty: a case report.
abstract: Periprosthetic supracondylar femoral fractures after total knee arthroplasty (TKA) are difficult surgical problems. We report a case of an 84-year-old female, in which an original method was applied to treat a periprosthetic supracondylar femoral nonunion just proximal a femoral component. The new method features extending the stem of the femoral component with a Küntcher nail. Eventually bony union was obtained and the patient is now able to walk without any support.
authors.affiliation: Department of Orthopaedic Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama Prefecture 359-8513, Japan. yoshi1869@paw.hi-ho.ne.jp
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Motoki
authors.initials: M
authors.lastname: Ohashi
authors.forename: Daiki
authors.initials: D
authors.lastname: Kaneko
authors.forename: Koichi
authors.initials: K
authors.lastname: Nemoto
mesh_terms: D000058:Accidental Falls; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D012086:Reoperation