Li QW, Wu B, Chen B. Modified fixation for periprosthetic supracondylar femur fractures: Two case reports and review of the literature. World J Clin Cases 2022; 10(33): 12328-12336 [PMID: 36483801 DOI: 10.12998/wjcc.v10.i33.12328]
Corresponding Author of This Article
Bo Chen, MD, Chief Doctor, Department of Orthopedics, The People's Hospital of Three Gorges University, The First People's Hospital of Yichang, No. 2 Jiefang Road, Yichang 443000, Hubei Province, China. bochen71@yeah.net
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2022; 10(33): 12328-12336 Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12328
Modified fixation for periprosthetic supracondylar femur fractures: Two case reports and review of the literature
Qin-Wen Li, Bin Wu, Bo Chen
Qin-Wen Li, Bin Wu, Bo Chen, Department of Orthopedics, The People's Hospital of Three Gorges University, The First People's Hospital of Yichang, Yichang 443000, Hubei Province, China
Author contributions: Li QW involved in patient care, conducted literature analysis and wrote the manuscript; Wu B collected the clinical data and analyzed the results; Chen B performed the operation and revised the manuscript; All Authors approved the final version.
Informed consent statement: Informed written consent was obtained from the patient and her family for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Chen, MD, Chief Doctor, Department of Orthopedics, The People's Hospital of Three Gorges University, The First People's Hospital of Yichang, No. 2 Jiefang Road, Yichang 443000, Hubei Province, China. bochen71@yeah.net
Received: July 10, 2022 Peer-review started: July 10, 2022 First decision: September 5, 2022 Revised: September 16, 2022 Accepted: October 26, 2022 Article in press: October 26, 2022 Published online: November 26, 2022
Core Tip
Core Tip: In this article, we reported two cases of elderly osteoporotic patients with periprosthetic supracondylar femoral fractures (PSFs) in the setting of total knee arthroplasty (TKA) after treated with modified nail plate combination (NPC), which was granted by the Trademark Office of China National Intellectual Property Administration. Unlike inserting retrograde intramedullary nail (RIMN) for holding the reduction after the initial reduction of fragments in previous NPC cases, it is the modified locking plate (LP) that performs the initial reduction and fixation of the distal femoral fragments in our cases. Initial reduction and fixation with LP and then insertion of RIMN can avoid an extension deformity in nailing of PSFs due to the femoral component of the TKA occluding the optimal start point. In patients with osteoporosis, modified NPC is beneficial and effective, attributed to early weight bearing and favorable clinical outcomes.
