Nail and Plate Combination Fixation for Periprosthetic and Interprosthetic Fractures

Abstract

Nail plate combination technique can be applied in the setting of periprosthetic and interprosthetic fractures to promote reliable healing with a biomechanically favorable construct. Here, technical aspects and discussion of the technique are reviewed through a case of an 87-year-old woman who suffered from an interprosthetic "floating" total knee arthroplasty (TKA); a supracondylar distal femur fracture in between a total hip arthroplasty and a TKA, with a proximal tibial metaphyseal fracture below the TKA tibial base plate.