ArticleJournal of surgical case reports2025
Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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2 authors.
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Abstract
This study investigates the clinical outcomes of single-stage internal fixation combined with total knee arthroplasty (TKA) for treating distal femoral fractures with concurrent knee osteoarthritis (OA). We report a case of a 68-year-old female patient who sustained a displaced distal femoral spiral fracture (AO/OTA type A1.2) and severe knee OA (Kellgren-Lawrence grade IV). The patient underwent single-stage surgery involving locked compression plating for fracture fixation and primary TKA. Postoperatively, the patient was allowed immediate weight-bearing and aggressive rehabilitation. At 4-year follow-up, the patient demonstrated significant functional improvement, with an Oxford Knee Score of 36.8 and a visual analog scale (VAS) pain score of 1.9. Radiographs showed no implant loosening and normal knee alignment. This case highlights the feasibility and effectiveness of single-stage internal fixation combined with TKA for elderly patients with osteoporotic distal femoral fractures and knee OA, offering a promising treatment option for such complex cases.
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