Hurson C, Synnott K, McCormack D
Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland.
Knee. 2005 Apr;12(2):145-7. doi: 10.1016/j.knee.2004.06.005.
Supracondylar femoral fractures above a total knee replacement are rare injuries that may be challenging to treat. We present a 60-year-old woman who sustained a supracondylar femoral fracture 10 days following a total knee replacement. This patient had multiple risk factors. The fracture was not deemed amenable to conventional treatment. This patient underwent fixation of her femoral fracture above a total knee replacement using a two-ring above-knee Ilizarov external fixator. This allowed full mobilization of the affected limb during fracture healing. The fixator was removed at 10 weeks, at which time the fracture was solidly healed. At the most recent follow-up, 14 months from injury, she was fully weight-bearing without walking aids and had a knee range of motion of 0-120 degrees .
全膝关节置换术后股骨髁上骨折是一种罕见的损伤，治疗起来可能具有挑战性。我们报告一名60岁女性，在全膝关节置换术后10天发生了股骨髁上骨折。该患者有多种危险因素。骨折被认为不适于传统治疗。该患者在全膝关节置换上方使用双环膝上伊里扎洛夫外固定架对股骨骨折进行固定。这使得在骨折愈合期间患侧肢体能够完全活动。固定架在10周时拆除，此时骨折已牢固愈合。在受伤后14个月的最近一次随访中，她无需辅助行走即可完全负重，膝关节活动范围为0至120度。
