Abstract
Periprosthetic fractures of the distal femur above a total knee arthroplasty present a challenging surgical problem for orthopedic surgeons. Numerous operative and nonoperative treatment options exist including casting, Rush rods, supracondylar nails, and plate fixation. Potentially significant complications are associated with all current treatment alternatives. Plate or nail constructs frequently achieve limited distal fixation, leading to loss of fixation and varus angulation. This complication was not observed with the Less Invasive Stabilization System (LISS). In addition, our early results demonstrate the superiority of LISS treatment with low infection rates, no requirement for acute bone grafting, and secure fixation allowing for immediate postoperative mobilization. LISS fixation may offer a superior surgical treatment option for periprosthetic distal femur fractures.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 834-839 |
| Number of pages | 6 |
| Journal | Journal of Arthroplasty |
| Volume | 18 |
| Issue number | 7 |
| DOIs | |
| State | Published - Oct 2003 |
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Keywords
- Less-invasive stabilization system
- Minimally invasive percutaneous plate fixation
- Percutaneous plating
- Periprosthetic fractures
- Total knee arthroplasty
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Operative stabilization of supracondylar femur fractures above total knee arthroplasty : A comparison of four treatment methods. / Althausen, Peter L.; Lee, Mark A; Finkemeier, Christopher G.; Meehan, John; Rodrigo, Juan J.
In: Journal of Arthroplasty, Vol. 18, No. 7, 10.2003, p. 834-839.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Operative stabilization of supracondylar femur fractures above total knee arthroplasty
T2 - A comparison of four treatment methods
AU - Althausen, Peter L.
AU - Lee, Mark A
AU - Finkemeier, Christopher G.
AU - Meehan, John
AU - Rodrigo, Juan J.
PY - 2003/10
Y1 - 2003/10
N2 - Periprosthetic fractures of the distal femur above a total knee arthroplasty present a challenging surgical problem for orthopedic surgeons. Numerous operative and nonoperative treatment options exist including casting, Rush rods, supracondylar nails, and plate fixation. Potentially significant complications are associated with all current treatment alternatives. Plate or nail constructs frequently achieve limited distal fixation, leading to loss of fixation and varus angulation. This complication was not observed with the Less Invasive Stabilization System (LISS). In addition, our early results demonstrate the superiority of LISS treatment with low infection rates, no requirement for acute bone grafting, and secure fixation allowing for immediate postoperative mobilization. LISS fixation may offer a superior surgical treatment option for periprosthetic distal femur fractures.
AB - Periprosthetic fractures of the distal femur above a total knee arthroplasty present a challenging surgical problem for orthopedic surgeons. Numerous operative and nonoperative treatment options exist including casting, Rush rods, supracondylar nails, and plate fixation. Potentially significant complications are associated with all current treatment alternatives. Plate or nail constructs frequently achieve limited distal fixation, leading to loss of fixation and varus angulation. This complication was not observed with the Less Invasive Stabilization System (LISS). In addition, our early results demonstrate the superiority of LISS treatment with low infection rates, no requirement for acute bone grafting, and secure fixation allowing for immediate postoperative mobilization. LISS fixation may offer a superior surgical treatment option for periprosthetic distal femur fractures.
KW - Less-invasive stabilization system
KW - Minimally invasive percutaneous plate fixation
KW - Percutaneous plating
KW - Periprosthetic fractures
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=0141993610&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0141993610&partnerID=8YFLogxK
U2 - 10.1016/S0883-5403(03)00339-5
DO - 10.1016/S0883-5403(03)00339-5
M3 - Article
C2 - 14566736
AN - SCOPUS:0141993610
VL - 18
SP - 834
EP - 839
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 7
ER -