• Liza E Osagie and Mathias P G Bostrom.
• Hospital for Special Surgery, New York, New York 10021, USA.
• J Arthroplasty. 2011 Dec 1; 26 (8): 1571.e1-3.

AbstractThe treatment of periprosthetic femoral fractures around long-stemmed hip implants is an orthopedic challenge, which may be complicated by the presence or need for a total knee arthroplasty. Treatment of this fracture when the proximal implant is well fixed and a distal implant is required poses ongoing challenges. Traditional plating and allograft struts have produced variable results, particularly in osteoporotic bone, where incidence of nonunion is greater. Thus, we report a custom interlocking device, which couples the stem of the fixed proximal implant to a new stemmed total knee prosthesis, resulting in the expedited restoration of functionality and fracture union.Copyright © 2011 Elsevier Inc. All rights reserved.

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