Video Gallery

Video Gallery

To View the Video

Repair of Distal Femoral Periprosthetic Fracture Nonunion Using a Linked Nail Plate Construct

March 01, 2019

Contributors: Edward M Delsole, MD; Sanjit R Konda, MD; Jessica Mandel, BA; Kenneth A Egol, MD; Kenneth A Egol, MD

Periprosthetic fracture nonunions are rarely encountered in orthopaedic practice. This video demonstrates the use of a linked nail plate construct with autologous bone graft to repair an atrophic distal femoral periprosthetic fracture nonunion. The patient shown in this video is a 93-year-old woman with known delayed healing 1 year after management of a left distal femoral periprosthetic fracture. She experienced a low-energy injury and hardware failure. Given the patient’s advanced age, poor bone quality, and previous hardware failure, surgical fixation with the use of a linked nail plate construct was indicated. Anatomic reduction and stable fixation with bone graft was performed with excellent results. Although femoral periprosthetic fracture nonunions are rare, they can be successfully managed via surgical intervention consisting of compression plating with supplemental bone grafting.

Results for "Trauma"

1 of 11
1 of 11

X