Single-stage bilateral distal femur replacement for traumatic distal femur fractures

Single-stage bilateral distal femur replacement for traumatic distal femur fractures

Treatment of periprosthetic distal femur fractures and comminuted intraarticular distal femur fractures with previous arthritis remains a difficult challenge for orthopedic surgeons. Previous case series have shown that distal femur replacement (DFR) can effectively compensate for bone loss, relieve...

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Main Authors: David C. Neal, MD, Varun Sambhariya, MD, Apollo Tran, BS, Shawn K. Rahman, BSA, Thad J. Dean, DO, Russel A. Wagner, MD, Hugo B. Sanchez, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-03-01
Series:Arthroplasty Today
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344118301365
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spelling doaj-defc81487bea455fab1e33071e8da9a12020-11-25T02:29:23ZengElsevierArthroplasty Today2352-34412019-03-01512631Single-stage bilateral distal femur replacement for traumatic distal femur fracturesDavid C. Neal, MD0Varun Sambhariya, MD1Apollo Tran, BS2Shawn K. Rahman, BSA3Thad J. Dean, DO4Russel A. Wagner, MD5Hugo B. Sanchez, MD, PhD6Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; Corresponding author. Department of Orthopaedic Surgery, John Peter Smith Hospital, 1500 S. Main St. Fort Worth, TX 76104, USA. Tel.: + 1 817 702 1370.Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USAUniversity of North Texas Health Science Center, Fort Worth, TX, USAUniversity of North Texas Health Science Center, Fort Worth, TX, USADepartment of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USADepartment of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; University of North Texas Health Science Center, Fort Worth, TX, USADepartment of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; University of North Texas Health Science Center, Fort Worth, TX, USATreatment of periprosthetic distal femur fractures and comminuted intraarticular distal femur fractures with previous arthritis remains a difficult challenge for orthopedic surgeons. Previous case series have shown that distal femur replacement (DFR) can effectively compensate for bone loss, relieve knee pain, and allow for early ambulation in both of these fracture patterns. Owing to the typical low-energy mechanism of these injuries, a bilateral injury treated with DFR is rarely encountered. We present a patient with traumatic open left Rorabeck III/Su III periprosthetic distal femur fracture and closed right intraarticular distal femur fracture (AO fcation 33-C2) with end-stage arthrosis treated with single-stage bilateral DFR. We suggest that in patients with similar injuries, single-stage bilateral DFR can provide the benefits of early mobilization and accelerated recovery. Keywords: Distal femur fracture, Periprosthetic fracture, Revision knee arthroplasty, Distal femur replacementhttp://www.sciencedirect.com/science/article/pii/S2352344118301365
collection DOAJ
language English
format Article
sources DOAJ
author David C. Neal, MD
Varun Sambhariya, MD
Apollo Tran, BS
Shawn K. Rahman, BSA
Thad J. Dean, DO
Russel A. Wagner, MD
Hugo B. Sanchez, MD, PhD
spellingShingle David C. Neal, MD
Varun Sambhariya, MD
Apollo Tran, BS
Shawn K. Rahman, BSA
Thad J. Dean, DO
Russel A. Wagner, MD
Hugo B. Sanchez, MD, PhD
Single-stage bilateral distal femur replacement for traumatic distal femur fractures
Arthroplasty Today
author_facet David C. Neal, MD
Varun Sambhariya, MD
Apollo Tran, BS
Shawn K. Rahman, BSA
Thad J. Dean, DO
Russel A. Wagner, MD
Hugo B. Sanchez, MD, PhD
author_sort David C. Neal, MD
title Single-stage bilateral distal femur replacement for traumatic distal femur fractures
title_short Single-stage bilateral distal femur replacement for traumatic distal femur fractures
title_full Single-stage bilateral distal femur replacement for traumatic distal femur fractures
title_fullStr Single-stage bilateral distal femur replacement for traumatic distal femur fractures
title_full_unstemmed Single-stage bilateral distal femur replacement for traumatic distal femur fractures
title_sort single-stage bilateral distal femur replacement for traumatic distal femur fractures
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2019-03-01
description Treatment of periprosthetic distal femur fractures and comminuted intraarticular distal femur fractures with previous arthritis remains a difficult challenge for orthopedic surgeons. Previous case series have shown that distal femur replacement (DFR) can effectively compensate for bone loss, relieve knee pain, and allow for early ambulation in both of these fracture patterns. Owing to the typical low-energy mechanism of these injuries, a bilateral injury treated with DFR is rarely encountered. We present a patient with traumatic open left Rorabeck III/Su III periprosthetic distal femur fracture and closed right intraarticular distal femur fracture (AO fcation 33-C2) with end-stage arthrosis treated with single-stage bilateral DFR. We suggest that in patients with similar injuries, single-stage bilateral DFR can provide the benefits of early mobilization and accelerated recovery. Keywords: Distal femur fracture, Periprosthetic fracture, Revision knee arthroplasty, Distal femur replacement
url http://www.sciencedirect.com/science/article/pii/S2352344118301365
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