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pubmed-article:11938516pubmed:abstractTextTen supracondylar fractures of the femur above a total knee arthroplasty were treated with open reduction and internal fixation using a metal plate and cortical allograft struts. Failure with nonunion of previous operative treatments was seen in 5 patients. The other 5 patients had either severe osteopenia or comminution of the fracture above the knee prosthesis. At an average of 38 months' follow-up, all the fractures healed with an average union time of 17.6 weeks. The postoperative knee alignment averaged 5.1 degrees valgus. Infection occurred in 1 patient, which resulted in a poor outcome. The remaining 9 patients were functioning well at the most recent follow-up examination. The use of cortical allograft struts combined with a compression plate provided satisfactory results for supracondylar fractures above knee prostheses with severe osteopenia or loss of bone stock after initial failure of internal fixation.lld:pubmed
pubmed-article:11938516pubmed:languageenglld:pubmed
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pubmed-article:11938516pubmed:authorpubmed-author:WangChing-Jen...lld:pubmed
pubmed-article:11938516pubmed:authorpubmed-author:WangJun-WenJWlld:pubmed
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pubmed-article:11938516pubmed:volume17lld:pubmed
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pubmed-article:11938516pubmed:pagination365-72lld:pubmed
pubmed-article:11938516pubmed:dateRevised2004-11-17lld:pubmed
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pubmed-article:11938516pubmed:year2002lld:pubmed
pubmed-article:11938516pubmed:articleTitleSupracondylar fractures of the femur above total knee arthroplasties with cortical allograft struts.lld:pubmed
pubmed-article:11938516pubmed:affiliationDepartment of Orthopaedic Surgery, Chang Gung Memorial Hospital at Kaohsiung, Taiwan, Republic of China. lee415@adm.cgmh.org.twlld:pubmed
pubmed-article:11938516pubmed:publicationTypeJournal Articlelld:pubmed