Management of Distal Femur Periprosthetic Fracture in an Elderly Patient by Open Reduction and Internal Fixation With Locking Plate Osteosynthesis –: A Case Report

Distal femur periprosthetic fractures are rare entityies and difficult to manage. Supracondylar femur fractures are most common amongst periprosthetic fractures. They can be managed by various modalities. These fractures are often difficult to treat because of various factors likesuch as osteoporosis, communication, female gender, and poor bone stock. Fixation of supracondylar femur fracture by locking plate provides excellent results in terms of radiological and clinical outcomes.Case Report: We report a case of a 70 year -year-old female with pain and swelling in the right knee since for 1 day. She had a history of fall in bathroom 1 day back. The patient was operated with total knee replacement 6 years back for grade Grade 3 osteoarthritis of the knee. The patient was known case of hypertension and was on medication for the same. We operated the patient by open reduction and internal fixation with distal femur locking plate and it provided excellent clinical outcome.Conclusion: Periprosthetic supracondylar femur fractures are rare entity entities and generally difficult to manage, especially in elderly patient, due to poor bone quality. The choice of implant used to treat such fractures depends on the surgeon’s choice and patient’s compliance. Open reduction and internal fixation with a locking plate is a good entity as it provides excellent clinical and radiological outcome.Keywords: Distal femur, supracondylar, periprosthetic fracture, total knee replacement, open reduction and internal fixation.