title: Periprosthetic femoral fracture after a well-fixed revision total knee arthroplasty treated with in situ effective lengthening of prosthesis.
abstract: The increasing number of total knee arthroplasties implies a greater likelihood of periprosthetic fractures and need for successful treatment options. We report a case where in situ effective lengthening of the stem of a well-fixed indwelling prosthesis by a custom-made intramedullary nail with taper-lock coupling provided a successful alternative to the established internal fixation techniques involving prosthesis exchange. We believe that effective lengthening of indwelling prosthesis by a custom-made intramedullary nail is an effective option for treating periprosthetic femoral fractures in selected cases, where an attempt of removing well-fixed implant would result in unacceptable bone loss at the joint level.
authors.affiliation: Centre for Knee and Hip Surgery, Vadodara, India.
authors.forename: Bharat S
authors.initials: BS
authors.lastname: Mody
authors.forename: Anoop O
authors.initials: AO
authors.lastname: Khandelwal
authors.forename: Ajay C
authors.initials: AC
authors.lastname: Wala
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis; D057068:Periprosthetic Fractures / Q000209:etiology / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation / Q000009:adverse effects; D016896:Treatment Outcome