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Knee arthroplasty with hardware removal: complication cascade. Is it preventable?
Gabriel Nierenberg1,2, Alaa Abu Elasal2, Eran Keltz3,2
1Orthopedic Surgery, Rambam Health Care Campus, Haifa, Israel Drgabiknee@technion.ac.il.
BMJ Case Reports
|August 27, 2020
Summary
This case study details a complex right knee revision surgery complicated by femur fracture and fixation failure. Successful bone union was ultimately achieved after multiple interventions.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Trauma Management
Background:
- A patient with a history of ipsilateral knee and femur surgery presented for right knee hardware removal and total joint replacement (TJR).
- Previous treatments included ipsilateral total hip replacement (THR) and open reduction internal fixation (ORIF) for a distal femur supracondylar fracture using a locking compression plate.
- The patient experienced a distal femur fracture during the hardware removal attempt prior to knee arthroplasty.
