Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty
Retrograde intramedullary nailing (RIMN) has been used for periprosthetic fracture of the distal femur after total knee arthroplasty (TKA), yielding good fracture union rates and satisfactory outcomes. However, RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturb...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/1805145 |
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| author | Kazuhiko Udagawa Yasuo Niki Kengo Harato Shu Kobayashi So Nomoto |
| author_facet | Kazuhiko Udagawa Yasuo Niki Kengo Harato Shu Kobayashi So Nomoto |
| author_sort | Kazuhiko Udagawa |
| collection | DOAJ |
| description | Retrograde intramedullary nailing (RIMN) has been used for periprosthetic fracture of the distal femur after total knee arthroplasty (TKA), yielding good fracture union rates and satisfactory outcomes. However, RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert, and the surgeon therefore usually requires knee joint arthrotomy. We report a case of a 79-year-old male who was involved in bicycle accident resulting in periprosthetic fracture of the distal femur after PS-TKA. We performed osteosynthesis with arthroscopically assisted RIMN to define an appropriate entry point. RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert. Because arthroscopy can directly visualize the entry point and the tibial post without arthrotomy, arthroscopically assisted RIMN offers a useful technical option for periprosthetic fracture of the distal femur after PS-TKA. |
| format | Article |
| id | doaj-art-355299842dd64becb38ea6130801123b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-355299842dd64becb38ea6130801123b2025-02-03T05:59:21ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/18051451805145Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee ArthroplastyKazuhiko Udagawa0Yasuo Niki1Kengo Harato2Shu Kobayashi3So Nomoto4Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Yokohama-City Tobu Hospital, Yokohama, JapanRetrograde intramedullary nailing (RIMN) has been used for periprosthetic fracture of the distal femur after total knee arthroplasty (TKA), yielding good fracture union rates and satisfactory outcomes. However, RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert, and the surgeon therefore usually requires knee joint arthrotomy. We report a case of a 79-year-old male who was involved in bicycle accident resulting in periprosthetic fracture of the distal femur after PS-TKA. We performed osteosynthesis with arthroscopically assisted RIMN to define an appropriate entry point. RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert. Because arthroscopy can directly visualize the entry point and the tibial post without arthrotomy, arthroscopically assisted RIMN offers a useful technical option for periprosthetic fracture of the distal femur after PS-TKA.http://dx.doi.org/10.1155/2018/1805145 |
| spellingShingle | Kazuhiko Udagawa Yasuo Niki Kengo Harato Shu Kobayashi So Nomoto Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty Case Reports in Orthopedics |
| title | Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty |
| title_full | Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty |
| title_fullStr | Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty |
| title_full_unstemmed | Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty |
| title_short | Arthroscopically Assisted Retrograde Intramedullary Nailing for Periprosthetic Fracture of the Femur after Posterior-Stabilized Total Knee Arthroplasty |
| title_sort | arthroscopically assisted retrograde intramedullary nailing for periprosthetic fracture of the femur after posterior stabilized total knee arthroplasty |
| url | http://dx.doi.org/10.1155/2018/1805145 |
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