Tanaka Yoshitaka, Kobayashi Tatsuo, Ohashi Motoki, Kaneko Daiki, Nemoto Koichi
Department of Orthopaedic Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama Prefecture 359-8513, Japan.
Knee. 2007 Jan;14(1):59-62. doi: 10.1016/j.knee.2006.10.011. Epub 2006 Dec 13.
Periprosthetic supracondylar femoral fractures after total knee arthroplasty (TKA) are difficult surgical problems. We report a case of an 84-year-old female, in which an original method was applied to treat a periprosthetic supracondylar femoral nonunion just proximal a femoral component. The new method features extending the stem of the femoral component with a Küntcher nail. Eventually bony union was obtained and the patient is now able to walk without any support.
全膝关节置换术(TKA)后股骨髁上假体周围骨折是棘手的外科问题。我们报告一例84岁女性患者,采用一种原创方法治疗股骨部件近端的股骨髁上假体周围骨不连。新方法的特点是用一枚克氏针延长股骨部件柄部。最终实现了骨愈合,患者现在能够无需任何支撑行走。