SUPRACONDYLAR FEMORAL FRACTURE FOLLOWING TOTAL KNEE ARTHROPLASTY

Twenty-nine supracondylar femoral fractures above total knee arthropla sty were studied retrospectively. Group 1 consisted of 5 nondisplaced fractures managed with closed treatment, yielding 5 satisfactory resul ts. Group 2 consisted of 9 displaced fractures managed with closed tre atment, There were no satisfactory results in Group 2; there were 8 ma lunions and 2 knees requiring revision, Group 3 consisted of 15 displa ced fractures managed with open reduction and internal fixation. There were 10 satisfactory results in Group 3; there were 2 malunions and 3 knees requiring revision or repeat fixation, On the basis of these re sults, closed treatment for nondisplaced fractures is recommended, If displacement exists, early open reduction and internal fixation yields the greatest chance for a satisfactory result, though it has a signif icant complication rate.