Treatment of periprosthetic supracondylar femoral fractures using the Ilizarov method (report of two cases)

Abstract

Periprosthetic fractures are technically challenging problems for orthopaedic surgery, as they require the skills of reconstruction surgery as well as those of revision arthroplasty. Periprosthetic fractures in patients with total hip arthroplasty (THA) were reported to occur at a rate of 0.1%. The same ratio for patients with total knee arthroplasty is 0.3-5.5%. The patients with periprosthetic fractures have several medical conditions such as osteoporosis, neuropathy, rheumatoid arthritis. Non-operative treatment of periprosthetic femoral fractures in patients with total hip arthroplasty have high complication rates, and is not therefore choiced unless medical comorbidities preclude surgery. Internal fixation methods are the first choice for periprosthetic femoral fractures, it is not possible to apply of these methods in some conditions such as infection, poor quality of bone, the patients with general comorbidities and some configurations of the fracture. In this paper, periprosthetic femoral supracondylar fractures treated with Ilizarov method was presented in 2 cases. © 2013 OMU.