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JBJS Case Connect. 2019 Aug 6. doi: 10.2106/JBJS.CC.18.00347. [Epub ahead of print]

Surgical Technique to Manage Periprosthetic Fractures of the Knee in Patients with Infected Leg Ulcers: A Report of Two Cases.

Author information

1
Department of Orthopaedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopaedics and Trauma, The University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
2
Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
3
Centre for Orthopaedic and Trauma Research and Discipline of Orthopaedics and Trauma, The University of Adelaide, Adelaide, South Australia, Australia.

Abstract

CASES:

We describe 2 cases of nonagenarians with periprosthetic knee fractures that were not amenable to either standard internal fixation nor prosthesis revision because of infected leg ulcers in the same limb. The fractures were internally fixed by percutaneous insertion of medial and lateral plates that spanned the knee. Both patients returned to their baseline level of activity without developing surgical site infections.

CONCLUSIONS:

Percutaneous bridging plates that span the knee are a useful option for treating these difficult cases.

PMID:
31390336
DOI:
10.2106/JBJS.CC.18.00347

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