Periprosthetic supracondylar femur fracture treated with spanning external fixation

Motasem Refaat, Sheldon Coleman, John Meehan, Amir A. Jamali

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Periprosthetic supracondylar fractures of the femur after total knee arthroplasty represent a devastating complication for the patient and a technical challenge for the surgeon. Treatment is often complicated by advanced patient age, retained cement, and accompanying osteoporosis. We present the case of a 54-year-old woman with a comminuted fracture of the distal femur just above a total knee prosthesis. She had a complex past medical history, including extensive coronary artery disease, morbid obesity, chronic osteoporosis, anemia, diabetes, and rheumatoid arthritis. She was a Jehovah's Witness and thus refused all blood products. Given her medical history, religious preferences, and fracture comminution, a spanning external fixator was used. She completed fracture union with an excellent clinical and radiographic result at 2 years.

Original languageEnglish (US)
Pages (from-to)90-93
Number of pages4
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Issue number2
StatePublished - Feb 1 2015

ASJC Scopus subject areas

  • Medicine(all)


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