Treatment of supracondylar XXXX following prosthetic arthroplasty of the knee.

@entity1 @entity1141 @entity174
Fifteen supracondylar @entity174 of the femur in @entity1 with ipsilateral total knee arthroplasties were treated between 1975 and 1982. Three groups were identified for analyzation of treatment and end result. The average follow-up period after @entity174 was 18 months, with a range of ten to 48 months. Group I had four @entity1 treated by closed reduction, cast immobilization, and early weight-bearing. At follow-up evaluation, three had a decrease in knee rating score, and one required a corrective osteotomy. Group II had eight @entity1 treated by traction followed by cast or cast-brace immobilization. Four @entity1 had a decrease in the knee rating because of malunion or loss of motion, and there was one nonunion requiring surgical treatment. Group III had three @entity1 treated by immediate open reduction and internal fixation of the @entity174 . All three groups had functional arthroplasties following union of the @entity174 . @entity1141 are recommended for the initial treatment. Open reduction and internal fixation, when technically feasible, is recommended when closed reduction and skeletal traction cannot maintain satisfactory alignment.
