Periprosthetic fractures of the femur (lower extremity)

A 66-year-old female tripped and fell while getting out of a car. Her past surgical history included a left Total Knee Replacement (TKR) performed six months earlier.

Radiographs revealed a left-sided comminuted periprosthetic femur fracture proximal to the femoral component. A CT Scan was performed and the femoral component was determined to be stable. Through a minimally invasive technique with indirect reduction, the fracture was reduced and fixed using a LISS locking plate and screws.

She returned for regular follow-up and healed uneventfully and at 2 years she presents with an excellent outcome including a healed periprosthetic femur fracture, resolution of pain, and a return to pre-injury activities.

  • Figure A

    Figure A

    Anteroposterior (AP), and lateral injury radiographs revealing a left-sided comminuted periprosthetic femur fracture.


  • Figure B

    Figure B

    CT scan images and 3D CT reconstruction images further delineating the fracture pattern.


  • Figure C, D

    Figure C, D

    (C) Preoperative plan for fracture reduction and fixation with a LISS locking plate.

    (D) AP and lateral views at 2 years following fracture surgery illustrate a healed periprosthetic femur fracture.



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