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  • Title: Management of periprosthetic fracture above total knee arthroplasty using intramedullary fibular allograft and plate fixation.
    Author: Kumar A, Chambers I, Maistrelli G, Wong P.
    Journal: J Arthroplasty; 2008 Jun; 23(4):554-8. PubMed ID: 18514874.
    Abstract:
    We report a series of comminuted periprosthetic fractures above total knee arthroplasties in 3 patients who were treated by using an intramedullary fibular strut allograft and a lateral buttress plate. The patients, whose ages ranged from 74 to 90 years, were grossly osteopenic on radiographs. All 3 fractures healed in a satisfactory alignment without any complications. We believe this technique is a feasible treatment option for periprosthetic fractures in this difficult group of patients, having both biologic and mechanical advantages.
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