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TKA Periprosthetic Fracture
Posted: Dec 14 2023 #(C102302)
E

periprosthetic femur fracture

;
periprosthetic femur fracture

HPI

A 73-year-old man, previously mobile and pain-free after a TKA in 2016, experienced a fall 9 months ago. Following the fall, he underwent ORIF at a different hospital. Despite rehabilitation attempts, he couldn't bear weight. He presented to the emergency department with significant pain and deformity, and there's no reported new trauma history.

PMH

Noncontributory

PE

The patient is in a stable condition. There is evident swelling along with an anterior and varus deformity in the right knee, specifically at the supracondylar region. The knee is fixed in a 20-degree flexed position and lacks full extension. However, passive flexion can be achieved up to 40 degrees.

Poll
1 of 1
1. 1. In addition to AP and LAT radiographs of the knee and femur, would you obtain any additional imaging to guide treatment?
No - plain radiographs are sufficient
27%
8/29
    • Yes - additional radiographic views (aXR)
    6%
    2/29
    • Yes - CT scan
    62%
    18/29
    • Outside my area of expertise - best if I don't vote
    3%
    1/29
    • PROCEDURE #1

    Removal of hardware and Revision, open reduction, internal fixation with Accord cable and lateral plate, allogenic bone grafting.

    Intra-procedure P1
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    OUTCOMES
    Post-procedure P1
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