We describe 2 cases of nonagenarians with periprosthetic knee fractures that were not amenable to either standard internal fixation nor prosthesis revision because of infected leg ulcers in the same limb. The fractures were internally fixed by percutaneous insertion of medial and lateral plates that spanned the knee. Both patients returned to their baseline level of activity without developing surgical site infections.
Percutaneous bridging plates that span the knee are a useful option for treating these difficult cases.
1Department of Orthopaedics and Trauma, Royal Adelaide Hospital and Discipline of Orthopaedics and Trauma, The University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia, Australia
2Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
3Centre for Orthopaedic and Trauma Research and Discipline of Orthopaedics and Trauma, The University of Adelaide, Adelaide, South Australia, Australia
E-mail address for L.B. Solomon: firstname.lastname@example.org
Investigation performed at the Royal Adelaide Hospital and The University of Adelaide, Adelaide, South Australia, Australia
*This topic was presented in Melbourne at the Asia Pacific Orthopaedic Association Congress March 29-April 1, 2016.
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A830).
Each author certifies that his institution has approved the human protocol for this investigation, all investigations were conducted in conformity with ethical principles of research, and informed consent for participation in the study was obtained. All authors have read and approved this manuscript and each author believes that the manuscript represents honest work.