What's the Diagnosis? By Dr. Lauren Murphy
Wed, 06/21/2017 - 12:31pm
A 63 year-old male with a history of left knee replacement c/o left knee pain after fall. He asks whether or not he will need the arthroplasty redone. (Scroll down for answer)
- Diagnosis: is a comminuted, periprosthetic distal left femur fracture
- Will not require revision if the implant is not loosened, there is sufficient bone for osteosynthesis, and he is not osteopenic
- Periprosthetic fractures require consultation with orthopedics, admission for evaluation and likely surgery.
- May need stabilization with intramedullary nail or locking plate prior to definitive management
- Read More on periprosthetic fractures associated knee arthroplasty