Single-stage bilateral distal femur replacement for traumatic distal femur fractures

David C. Neal, MD; Varun Sambhariya, MD; Apollo Tran, BS; Shawn K. Rahman, BSA; Thad J. Dean, DO; Russel A. Wagner, MD; Hugo B. Sanchez, MD, PhD

Arthroplasty Today (Mar 2019)

Single-stage bilateral distal femur replacement for traumatic distal femur fractures

David C. Neal, MD,
Varun Sambhariya, MD,
Apollo Tran, BS,
Shawn K. Rahman, BSA,
Thad J. Dean, DO,
Russel A. Wagner, MD,
Hugo B. Sanchez, MD, PhD

Affiliations

David C. Neal, MD: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; Corresponding author. Department of Orthopaedic Surgery, John Peter Smith Hospital, 1500 S. Main St. Fort Worth, TX 76104, USA. Tel.: + 1 817 702 1370.
Varun Sambhariya, MD: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
Apollo Tran, BS: University of North Texas Health Science Center, Fort Worth, TX, USA
Shawn K. Rahman, BSA: University of North Texas Health Science Center, Fort Worth, TX, USA
Thad J. Dean, DO: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA
Russel A. Wagner, MD: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; University of North Texas Health Science Center, Fort Worth, TX, USA
Hugo B. Sanchez, MD, PhD: Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA; University of North Texas Health Science Center, Fort Worth, TX, USA

Journal volume & issue: Vol. 5, no. 1
pp. 26 – 31

Abstract

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Treatment of periprosthetic distal femur fractures and comminuted intraarticular distal femur fractures with previous arthritis remains a difficult challenge for orthopedic surgeons. Previous case series have shown that distal femur replacement (DFR) can effectively compensate for bone loss, relieve knee pain, and allow for early ambulation in both of these fracture patterns. Owing to the typical low-energy mechanism of these injuries, a bilateral injury treated with DFR is rarely encountered. We present a patient with traumatic open left Rorabeck III/Su III periprosthetic distal femur fracture and closed right intraarticular distal femur fracture (AO fcation 33-C2) with end-stage arthrosis treated with single-stage bilateral DFR. We suggest that in patients with similar injuries, single-stage bilateral DFR can provide the benefits of early mobilization and accelerated recovery. Keywords: Distal femur fracture, Periprosthetic fracture, Revision knee arthroplasty, Distal femur replacement

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

About the journal