Extraarticular were 10 (40%) of which displaced and undisplaced were 5 each. Fall from height was seen in 20 (80%)patients. Associated injuries was seen in 10(40%) patients of which 8(32%) of them had fracture spine. All the cases of intaarticular fractures had C.T. scan. 5 cases had MUA and pinning for the extraarticular fracture. 8(32%) displaced intraarticular fractures underwent ORIF. 2((8%) intraarticular displaced fractures were treated conservatively. The average follow-up one-year. The final outcome assessed clinical and radiologically. 2 cases of infection, 4 cases of stiffness, 2 cases of deformity seen.1 case had parasthesia. The final outcome all the fractures treated conservatively were good. Fractures underwent ORIF had better outcome and more complication rate as compared to conservative treatment.
Even the undisplaced intraarticular fractures of calcaneum do develop residual stiffness and difficulty in walking on uneven ground. Displaced fractures needs fixation for better results and facilitation for secondary operations. Wound infection, stiffness and deformity are known complications. In this small audit all three group did develop stiffness and we recommend a bigger, independent audit.
We report 10 cases of supracondylar periprotheitc fractures following TKR; all were treated using a retrograde intramedualry nailing. There were 7 females and 3 males, the mean age at surgery was 76 years (range from 68–85). The average time since the primary TKR to surgery was 5.3 years (range 2–9.4). All patients had locked intramedualry nail, and knee was immobilized in a splint for few months post op. Partial weight bearing was started 2 weeks post op. There was no intraoperative complication. One patient had superficial infection, which was treated by IV antibiotics. There was no cases of septic arthritis. One patient was lost for follow up and one patient died from myocardial infarction 8 months post op. Eight patients were reviewed and assessed clinically and radiologicaly. The average range of movement in the knee was 97 (range 75–110) and all patient achieved clinical and radiological healing.
