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The POSH - Pondy Ortho Speciality Hospital
Pondy Ortho Speciality Hospital
Pondy Ortho Speciality Hospital
A 56-year-old female with prior Total Knee Replacement presented with displaced periprosthetic distal femur fracture — managed at The POSH, Pondicherry. Knee implant preserved, fracture fixed, full recovery.
🦿 View Periprosthetic Case
KNEE SURGERY
A 56-year-old female patient with a history of Total Knee Replacement (TKR) presented to The POSH - Pondy Ortho Speciality Hospital, Pondicherry following a fall. X-ray and CT evaluation confirmed a displaced periprosthetic distal femur fracture — a fracture occurring at the level of the existing knee implant, one of the most technically demanding scenarios in reconstructive orthopaedics.
The critical challenge: any standard fixation approach risked damaging or destabilizing the well-functioning TKR implant. The surgical team at The POSH devised a precise plan to achieve fracture fixation while completely preserving the knee prosthesis, eliminating the need for costly and high-risk revision surgery.
"Periprosthetic fractures demand expert planning — one wrong move and the existing implant is lost. At The POSH, we preserved it completely."
Hover any strip to pause · Images from the actual case
"The existing knee implant was completely preserved. The fracture was fixed. The patient walked again — all without revision surgery. That's expert periprosthetic care."
The surgical team at The POSH successfully placed a specially designed retrograde locking plate that bypassed the existing TKR implant entirely. Intraoperative C-arm fluoroscopy confirmed anatomical fracture reduction with the knee prosthesis fully intact and well-positioned. No implant revision was required at any stage.
Post-operative rehabilitation commenced with early mobilization and DVT prophylaxis protocols. Progressive weight-bearing was introduced under physiotherapy supervision. At eight weeks, the patient achieved full weight-bearing ambulation with excellent knee function maintained from the pre-existing TKR. The outcome exceeded expectations for this complex periprosthetic fracture scenario.
Knee implant completely preserved — no revision
Distal femur fracture united with plate fixation
Patient walking with full weight-bearing
Full knee range of motion maintained
Chief Orthopaedic & Joint Reconstruction Surgeon
Senior Anaesthesiologist
Chief Physiotherapist
Dedicated Nursing & C-Arm Fluoroscopy Staff
Periprosthetic fractures are among the most challenging cases in orthopaedics. Preserving the existing knee implant while achieving solid fracture fixation requires expert planning and execution. At The POSH, we deliver both.
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