Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates

Supracondylar periprosthetic femoral fractures occurring above total knee replacements have been considered a rare entity. However, they continue to increase in frequency with the increasing number of arthroplasties and the improvement in morbidity and mortality in the concerned patient population....

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Main Authors: Rita Moukarzel, Dany Aouad, Mohammad Daher, Wendy Ghanem, Hady Ezzeddine, George El Rassi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/4882382
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author Rita Moukarzel
Dany Aouad
Mohammad Daher
Wendy Ghanem
Hady Ezzeddine
George El Rassi
author_facet Rita Moukarzel
Dany Aouad
Mohammad Daher
Wendy Ghanem
Hady Ezzeddine
George El Rassi
author_sort Rita Moukarzel
collection DOAJ
description Supracondylar periprosthetic femoral fractures occurring above total knee replacements have been considered a rare entity. However, they continue to increase in frequency with the increasing number of arthroplasties and the improvement in morbidity and mortality in the concerned patient population. The management of periprosthetic distal femoral fractures is a challenging orthopedic problem. In this brief communication, a case of 49-year-old woman with rheumatoid arthritis who sustained a low distal comminuted periprosthetic femoral fracture is presented. Her fracture was eventually managed with an intramedullary fibular strut allograft and bilateral locking plate placement reaching satisfactory healing and restoration of alignment. The primary aim of this report is to provide insight into this novel technique as a successful alternative to other standard surgical options.
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spelling doaj-art-8ea00f2994964ab2b5626e4c98ee78942025-02-03T01:11:41ZengWileyCase Reports in Orthopedics2090-67572021-01-01202110.1155/2021/4882382Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking PlatesRita Moukarzel0Dany Aouad1Mohammad Daher2Wendy Ghanem3Hady Ezzeddine4George El Rassi5Medical SchoolDepartment of Orthopedic Surgery and TraumatologyFaculty of MedicineDepartment of Orthopedic Surgery and TraumatologyDepartment of Orthopedic Surgery and TraumatologyDepartment of Orthopedic Surgery and TraumatologySupracondylar periprosthetic femoral fractures occurring above total knee replacements have been considered a rare entity. However, they continue to increase in frequency with the increasing number of arthroplasties and the improvement in morbidity and mortality in the concerned patient population. The management of periprosthetic distal femoral fractures is a challenging orthopedic problem. In this brief communication, a case of 49-year-old woman with rheumatoid arthritis who sustained a low distal comminuted periprosthetic femoral fracture is presented. Her fracture was eventually managed with an intramedullary fibular strut allograft and bilateral locking plate placement reaching satisfactory healing and restoration of alignment. The primary aim of this report is to provide insight into this novel technique as a successful alternative to other standard surgical options.http://dx.doi.org/10.1155/2021/4882382
spellingShingle Rita Moukarzel
Dany Aouad
Mohammad Daher
Wendy Ghanem
Hady Ezzeddine
George El Rassi
Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
Case Reports in Orthopedics
title Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
title_full Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
title_fullStr Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
title_full_unstemmed Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
title_short Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates
title_sort management of a complex supracondylar periprosthetic femur fracture with intramedullary strut allograft and bilateral locking plates
url http://dx.doi.org/10.1155/2021/4882382
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