• J Arthroplasty · Oct 2010

    Case Reports

    Periprosthetic femoral fracture after a well-fixed revision total knee arthroplasty treated with in situ effective lengthening of prosthesis.

    • Bharat S Mody, Anoop O Khandelwal, and Ajay C Wala.
    • Centre for Knee and Hip Surgery, Vadodara, India.
    • J Arthroplasty. 2010 Oct 1;25(7):1169.e17-9.

    AbstractThe 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.Copyright © 2010 Elsevier Inc. All rights reserved.

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