$Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty$
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Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty

Abstract Purpose Presence of supracondylar and periarticular femoral fracture with associated arthritis of knee poses a challenging situation to the orthopaedic surgeon. The results of fixation of fracture in osteoporosis are not very satisfactory and have complications. With fixation alone, they st...

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Autores principales:	Nicholas A. Antao, Sanjay Londhe, Rajan Toor, Rajesh Shirishkar, Siddharth Aiyer
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Total knee Arthroplasty Supracondylar femoral fractures Retrograde intramedullary solid locking nail (SIGN) Locking plate Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/47b5abd4757b4b388e1cf6591cc40ba4
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spelling	oai:doaj.org-article:47b5abd4757b4b388e1cf6591cc40ba42021-12-05T12:26:25ZShort-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty10.1186/s42836-021-00098-02524-7948https://doaj.org/article/47b5abd4757b4b388e1cf6591cc40ba42021-12-01T00:00:00Zhttps://doi.org/10.1186/s42836-021-00098-0https://doaj.org/toc/2524-7948Abstract Purpose Presence of supracondylar and periarticular femoral fracture with associated arthritis of knee poses a challenging situation to the orthopaedic surgeon. The results of fixation of fracture in osteoporosis are not very satisfactory and have complications. With fixation alone, they still cannot bear weight on affected leg due to severe disability of osteoarthritis. To make patient walk, conventionally three surgeries in the form of fracture fixation, removal of implant and total knee arthroplasty (TKA) needs to be done in staged manner. We propose a novel management in form of bifold fixation and simultaneous TKA. Methods Eight cases (6 females, 2 males) of supracondylar femoral fractures with severe osteoarthritis of the knee and osteoporosis were primarily fixed with bifold fixation using SIGN nail ( www.signfracturecare.org ) and locking plate together with simultaneous total knee arthroplasty. There were five cases (2 males and 3 females) of grade 4 (Kellgren-Lawrence grading) osteoarthritis (OA) and three cases (all females) of severe rheumatoid arthritis (RA). Results The mean age was 68 years and average time for full weight bearing was 6 days. Radiographic evidence of fracture union was achieved in 16.25 weeks. The mean Knee Society Score (KSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 26 months was 83.13 and 22.13 respectively. Conclusions Single stage combined bifold osteosynthesis with interlocking nail and locking plate together with total knee arthroplasty helps in one time management of these difficult injuries. It is a cost-effective and economically sound option and gives excellent results with good patient satisfaction.Nicholas A. AntaoSanjay LondheRajan ToorRajesh ShirishkarSiddharth AiyerBMCarticleTotal knee ArthroplastySupracondylar femoral fracturesRetrograde intramedullary solid locking nail (SIGN)Locking plateOrthopedic surgeryRD701-811ENArthroplasty, Vol 3, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Total knee Arthroplasty Supracondylar femoral fractures Retrograde intramedullary solid locking nail (SIGN) Locking plate Orthopedic surgery RD701-811
spellingShingle	Total knee Arthroplasty Supracondylar femoral fractures Retrograde intramedullary solid locking nail (SIGN) Locking plate Orthopedic surgery RD701-811 Nicholas A. Antao Sanjay Londhe Rajan Toor Rajesh Shirishkar Siddharth Aiyer Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
description	Abstract Purpose Presence of supracondylar and periarticular femoral fracture with associated arthritis of knee poses a challenging situation to the orthopaedic surgeon. The results of fixation of fracture in osteoporosis are not very satisfactory and have complications. With fixation alone, they still cannot bear weight on affected leg due to severe disability of osteoarthritis. To make patient walk, conventionally three surgeries in the form of fracture fixation, removal of implant and total knee arthroplasty (TKA) needs to be done in staged manner. We propose a novel management in form of bifold fixation and simultaneous TKA. Methods Eight cases (6 females, 2 males) of supracondylar femoral fractures with severe osteoarthritis of the knee and osteoporosis were primarily fixed with bifold fixation using SIGN nail ( www.signfracturecare.org ) and locking plate together with simultaneous total knee arthroplasty. There were five cases (2 males and 3 females) of grade 4 (Kellgren-Lawrence grading) osteoarthritis (OA) and three cases (all females) of severe rheumatoid arthritis (RA). Results The mean age was 68 years and average time for full weight bearing was 6 days. Radiographic evidence of fracture union was achieved in 16.25 weeks. The mean Knee Society Score (KSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 26 months was 83.13 and 22.13 respectively. Conclusions Single stage combined bifold osteosynthesis with interlocking nail and locking plate together with total knee arthroplasty helps in one time management of these difficult injuries. It is a cost-effective and economically sound option and gives excellent results with good patient satisfaction.
format	article
author	Nicholas A. Antao Sanjay Londhe Rajan Toor Rajesh Shirishkar Siddharth Aiyer
author_facet	Nicholas A. Antao Sanjay Londhe Rajan Toor Rajesh Shirishkar Siddharth Aiyer
author_sort	Nicholas A. Antao
title	Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
title_short	Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
title_full	Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
title_fullStr	Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
title_full_unstemmed	Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
title_sort	short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty
publisher	BMC
publishDate	2021
url	https://doaj.org/article/47b5abd4757b4b388e1cf6591cc40ba4
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Short-term results of a novel management of supracondylar fracture with coexisting osteoarthritis with bifold fixation and total knee arthroplasty

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