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modified fixation for periprosthetic supracondylar femur fractures:Two case reports and review of the literature

World Journal of Clinical Cases 2022年第33期10卷 12328-12336页

作者： Qin-Wen Li Bin Wu Bo Chen Department of Orthopedics The People's Hospital of Three Gorges UniversityThe First People's Hospital of YichangYichang 443000Hubei ProvinceChina

BACKGROUND Periprosthetic supracondylar femoral fractures(PSFs)present a challenge in terms of optimizing fixation in patients with poor bone *** treatment and peri-operative management of PSFs in the elderly remain a burden for orthopedic *** different treatment options,locking plate(LP)and retrograde intramedullary nail(RIMN)have shown favorable ***,reduced mobility and protected weight-bearing are often present in the postoperative older *** a purpose of allowing for early weight-bearing,a modified nail plate combination(NPC)was redesigned for PSF *** SUMMARY In our cases,two elderly osteoporotic female underwent total knee arthroplasty(TKA),and then suffered from low energy trauma onto their knees after falling to the *** radiographs or computed tomography scans demonstrated oblique or transverse PSFs,both of which occurred at the distal femur above *** modified NPC technique was performed for treatment of *** patient was made foot flat weight bearing in 1 *** 6-mo follow-up,the union was ultimately achieved using modified NPC with satisfactory implant *** Neither LP nor RIMN alone may provide adequate support to allow for union in circumstances where the patient has severely osteopenic ***,developing a modified implant offer an alternative choice for treating *** two cases revealed that this technique is a viable option for the geriatric osteoporotic PSFs,offering safe,early weight bearing and favorable clinical outcomes.

关键词： Periprosthetic supracondylar femoral fracture modified nail plate combination Elderly osteoporotic patient Early weight bearing Case report

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