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J Knee Surg 2013; 26(01): 009-014
DOI: 10.1055/s-0033-1333901
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Classification and Treatment of Periprosthetic Supracondylar Femur Fractures

William Ricci
1   Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
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Publication History

17 December 2012

18 December 2012

Publication Date:
08 February 2013 (online)

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Abstract

Locked plating and retrograde nailing are two accepted methods for treatment of periprosthetic distal femur fractures. Each has relative benefits and potential pitfalls. Appropriate patient selection and knowledge of the specific femoral component geometry are required to optimally choose between these two methods. Locked plating may be applied to most periprosthetic distal femur fractures. The fracture pattern, simple or comminuted, will dictate the specific plating technique, compression plating or bridge plating. Nailing requires an open intercondylar box and a distal fragment of enough size to allow interlocking. With proper patient selection and proper techniques, good results can be obtained with either method.

Keywords

orthopedics - total knee arthroplasty - periprosthetic supracondylar femur fracture - locked plating
 

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