Nail plate combination technique for periprosthetic supracondylar femur fractures: How far have we come?

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Abstract

Conflict of interest statement: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:JMJ: Synthes: Paid consultant. CGZ: This individual reported nothing to disclose. ISH: Foundation for Orthopedic Trauma: Research support; Irrimax Corporation: Research support; LifeNet Health: Paid consultant. JGM: This individual reported nothing to disclose. RSY: American Association of Hip and Knee Surgeons: Board or committee member; AO Foundation: Research support; AO Innovation Translation Center: Research support; Arthrex, Inc: IP royalties; Paid consultant; Bicomposites: Research support; Biomet: Research support; COTA: Research support; CustomSurg: Paid consultant; Stock or stock Options; DePuy, A Johnson & Johnson Company: Paid consultant; Research support; Foundation for Orthopedic Trauma: Board or committee member; Foundation for Physician Advancement: Board or committee member; Irrimax: Research support; LifeNet Health: Paid consultant; Research support; MiCare Health: Paid consultant; OMEGA: Research support; Organogenesis: Research support; ORintelligence: Stock or stock Options; OrthoGrid: Paid consultant; Orthopaedic Trauma Association: Board or committee member; ORTHOXEL: Paid consultant; Pacira: Research support; SI-Bone: Paid consultant; Research support; Smith & Nephew: Research support; Springer: Publishing royalties, financial or material support; Stryker: IP royalties; Paid consultant; Synthes: Paid consultant; Research support; Use-Lab: Paid consultant; WNT Scientific: Stock or stock Options. FAL: AAOS: Board or committee member; AO: Unpaid consultant; Biomet: IP royalties; Paid consultant; Paid presenter or speaker; Research support; DePuy, A Johnson & Johnson Company: IP royalties; Research support; Orthopaedic Trauma Association: Board or committee member; Stryker: IP royalties; Synthes: Paid consultant; Paid presenter or speaker. 13. Orthop Traumatol Surg Res. 2024 Nov;110(7):103856. doi: 10.1016/j.otsr.2024.103856. Epub 2024 Mar 2. Revision total knee arthroplasty with periprosthetic distal femoral fracture. Chantelot C(1), Saab M(2), Martin T(2), Begue T(3), Ehlinger M(4), Flecher X(5); SoFCOT(6). Author information: (1)Service de traumatologie, hôpital Salengro, CHU de Lille, avenue du Professeur Emile-Laine, 59000 Lille, France. Electronic address: christophe.chantelot@chru-lille.fr. (2)Service de traumatologie, hôpital Salengro, CHU de Lille, avenue du Professeur Emile-Laine, 59000 Lille, France. (3)Service de traumatologie, hôpital Antoine-Béclère, 157, rue de la Porte de Trivaux, 92140 Clamart, France. (4)Service de traumatologie, hôpital de Hautepierre, avenue Molière, 67200 Strasbourg, France. (5)Service de traumatologie, hôpital Nord, chemin des Bourrely, 13015 Marseille, France. (6)56, rue Boissonade, 75014 Paris cedex, France. Treatment strategies for periprosthetic distal femoral fracture depend on the type of fracture, level with respect to the prosthesis, and prosthesis fixation. The usual treatment is internal fixation by nail or locking plate. This can be more difficult when the fracture is close to the joint, is destabilizing the prosthesis or is associated with reduced bone stock, and implant exchange should be considered, depending on the patient's health status. The aim is to obtain the fastest possible recovery while limiting complications and minimizing surgery time for often frail and elderly patients. The present study details the implant revision technique in periprosthetic distal femoral fracture, which requires experience in traumatology and prosthetic revision and material adapted to the situation. LEVEL OF EVIDENCE: V, expert opinion. Copyright © 2024 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.otsr.2024.103856