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

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-03-07 DOI:10.1016/j.jcot.2025.102969

Jaclyn M. Jankowski, Christian G. Zapf, Ian S. Hong, Joseph G. Miceli, Richard S. Yoon, Frank A. Liporace

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引用次数: 0

Abstract

Open reduction and internal fixation for periprosthetic supracondylar femur fractures (PPFx) around a stable total knee arthroplasty (TKA) remains the gold standard, with the nail plate combination (NPC) technique offering increased biomechanical stability and high union rates. Advances in implant technology, particularly the introduction of the novel lateral locking attachment washer (LAW), have increased the availability of NPC options in the treatment of these technically demanding and complex cases. In this technical paper, we discuss two cases: Case 1 – describing the traditional NPC technique utilizing a retrograde intramedullary nail and lateral distal femoral locking plate; Case 2 – describing the NPC technique utilizing a retrograde nail and a novel LAW implant, which is now the authors’ more commonly utilized technique. Managing PPFx around a TKA implant remain a challenge, however, the integration of the LAW and newer generation of retrograde intramedullary nails have marked significant progress in treating these complex fractures.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.