P-ISSN: 2707-8345, E-ISSN: 2707-8353
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International Journal of Case Reports in Orthopaedics
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International Journal of Case Reports in Orthopaedics

2021, Vol. 3, Issue 2, Part A

Hinged knee arthroplasty in a case of non-union distal femur fracture with implant failure in an elderly individual: A case report


Author(s): Dr. Sinukumar Bhaskaran, Dr. Lalkar Laxman Gadod, Dr. Azhar Lakhani, Dr. Tasneem Kapadia and Dr. Mayank Pathak

Abstract: Introduction: Distal femur fractures are one of the most common fractures accounting for 0.5% of all fractures with incidence of about 7/100000/year. Majority of the fractures occur in elderly population (above 60 year) with osteoporosis resulting from a low energy trauma. In the younger age group these fractures are associated with high energy trauma. Case report: A 68-year-old male presented with chief complaints of pain and deformity in right knee since 1 year. The patient had a history of distal femur fracture 2 years back for which he was operated twice with distal femur plating and bone grafting. The patient was a known case of diabetes mellitus on medication since 5 years. Radiographs of the right knee in anteroposterior and lateral views were taken, which showed distal femur fracture non-union with a broken locking compression plate with grade 4 knee arthritis. Due to the failure of osteosynthesis twice, and the patient demanding for early mobilization, a single staged procedure with implant removal followed by an arthroplasty using cemented modular distal femur endoprosthesis was planned for the patient. Conclusion: Hinged knee arthroplasty can be considered as a treatment option for patients with distal femur non-union with pre-existing severe knee arthritis. It helps in early weight bearing and return to activities of daily living.

DOI: 10.22271/27078345.2021.v3.i2a.62

Pages: 24-27 | Views: 82 | Downloads: 31

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How to cite this article:
Dr. Sinukumar Bhaskaran, Dr. Lalkar Laxman Gadod, Dr. Azhar Lakhani, Dr. Tasneem Kapadia, Dr. Mayank Pathak. Hinged knee arthroplasty in a case of non-union distal femur fracture with implant failure in an elderly individual: A case report. Int J Case Rep Orthop 2021;3(2):24-27. DOI: 10.22271/27078345.2021.v3.i2a.62


International Journal of Case Reports in Orthopaedics