Use of an Intramedullary Nail to Guide Distal Femoral Resection in Primary Total Knee Arthroplasty: A Case Report. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Keshen, Sam; Lee, Jong Min; Khoshbin, Amir; Atrey, Amit
• Is Part Of: JBJS case connector. Volume 11:Issue 3(2021)
• Publication Date: 2021-07
• Subjects: total knee arthroplasty -- retained hardware -- IM nail -- osteoarthritis -- bisphosphonate -- knee -- TKA; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00229
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 67-year-old female patient presented for total knee arthroplasty (TKA) 4 years after receiving an antegrade femoral nail for bisphosphonate-induced femur fracture. She underwent a single-stage procedure with retention of femoral hardware. The femoral nail was used as a surrogate guide to reference the anatomical axis of the femur to position the distal femoral cutting block with good results. Conclusion: TKA is possible in patients with femoral intramedullary hardware without the need for hardware removal or extramedullary referencing. This report highlights a technique for the alignment of the femoral component by using the implanted femoral nail as an in situ guide for the placement of the distal femoral cutting block.