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Closed reduction and casting
1%
3/392
Bed rest and skeletal traction
0%
0/392
Open reduction and internal fixation
64%
250/392
Retrograde intramedullary nailing
3%
11/392
Revision of the femoral component with a stemmed component
32%
126/392
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The radiographs show an oblique periprosthetic distal femoral fracture. Of the options listed, open reduction and internal fixation is the most appropriate surgical option because a well-fixed, posterior stabilized closed box femoral component is present. Nonsurgical methods are not favored because of the highly displaced, unstable fracture pattern and prolonged immobility. Revision with a stemmed component is an option but would sacrifice more bone stock in this younger patient.
1.2
(35)
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