Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases

Periprosthetic distal femoral fractures after primary total knee arthroplasty (TKA) are considered rare; however, they pose a challenge for the treating surgeon, and the management options are mostly surgical (open reduction and internal fixation or revision surgery). We present two female patients...

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Main Authors: Ahmed M. Abdelaal, Ahmed A. Khalifa
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644022001005
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author Ahmed M. Abdelaal
Ahmed A. Khalifa
author_facet Ahmed M. Abdelaal
Ahmed A. Khalifa
author_sort Ahmed M. Abdelaal
collection DOAJ
description Periprosthetic distal femoral fractures after primary total knee arthroplasty (TKA) are considered rare; however, they pose a challenge for the treating surgeon, and the management options are mostly surgical (open reduction and internal fixation or revision surgery). We present two female patients who developed atraumatic lateral femoral condyle fractures three weeks after primary TKA; both were treated nonsurgically with acceptable outcomes and patient satisfaction. We believe that nonsurgical management of periprosthetic distal femoral fractures could be an economical solution in selected cases; it also could help maintain the distal femoral bone stock till a revision surgery is performed.
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spelling doaj.art-a4ecd1431fc54046a047e7d713d483d92022-12-22T03:01:05ZengElsevierTrauma Case Reports2352-64402022-12-0142100704Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two casesAhmed M. Abdelaal0Ahmed A. Khalifa1Orthopaedic and Traumatology Department, Assiut University Hospital, Assiut, EgyptOrthopaedic and Traumatology Department, Assiut University Hospital, Assiut, Egypt; Orthopedic Department, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt; Corresponding author at: Orthopedic Department, Qena Faculty of Medicine and University Hospital, South Valley University, Kilo 6 Qena-Safaga Highway, Qena 83523, Egypt.Periprosthetic distal femoral fractures after primary total knee arthroplasty (TKA) are considered rare; however, they pose a challenge for the treating surgeon, and the management options are mostly surgical (open reduction and internal fixation or revision surgery). We present two female patients who developed atraumatic lateral femoral condyle fractures three weeks after primary TKA; both were treated nonsurgically with acceptable outcomes and patient satisfaction. We believe that nonsurgical management of periprosthetic distal femoral fractures could be an economical solution in selected cases; it also could help maintain the distal femoral bone stock till a revision surgery is performed.http://www.sciencedirect.com/science/article/pii/S2352644022001005Periprosthetic fractureTotal knee arthroplastyAtraumatic fractureDistal femur
spellingShingle Ahmed M. Abdelaal
Ahmed A. Khalifa
Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
Trauma Case Reports
Periprosthetic fracture
Total knee arthroplasty
Atraumatic fracture
Distal femur
title Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
title_full Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
title_fullStr Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
title_full_unstemmed Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
title_short Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases
title_sort nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty a report of two cases
topic Periprosthetic fracture
Total knee arthroplasty
Atraumatic fracture
Distal femur
url http://www.sciencedirect.com/science/article/pii/S2352644022001005
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