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TKA Periprosthetic Fracture
Posted: Dec 21 2020 #(C101684)
B

Nondisplaced periprosthetic distal femur fracture 82F

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HPI

82-year-old female present to the ED following a ground level fall. Patient is s/p right TKA 13 years prior. Ambulates at baseline without assistive devices. Denies any antecedent knee pain prior to fall.

PMH

Hypertension, hyperlipidemia, obesity

PE

+TTP about the right knee without any obvious deformity. Moderate knee effusion. Knee ROM unable to be assessed secondary to pain. Ankle and toes motion full. SILT throughout the foot. 2+ DP pulse with BCR in all toes.

Poll
1 of 8
In addition to the plain film radiographs, would you obtain any further imaging to guide your treatment?
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P: 123906
Would you use a classification system for this injury to guide management?
Other
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P: 123907
How would you manage this patient?
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P: 123908
If you choose Operative management, what surgery would you perform?
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P: 123909
If you choose Open reduction internal fixation (ORIF), which technique would you utilize?
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P: 123910
If you choose Open reduction internal fixation (ORIF), what approach would you use for the nail?
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P: 123911
If you choose Operative management and attained the construct shown below, what would be your postoperative weight-bearing status?
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P: 123912
If you choose Operative management and attained the construct shown below, what would be your postoperative motion restrictions be?
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P: 123913
PROCEDURE #1

Open treatment of distal femur fracture without intercondylar extension - 25711

Intra-procedure P1
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