Internal Fixation of Supracondylar Fractures of Femur after Total Knee Replacements Using Ender Nails

Supracondylar fracture of the femur after total knee replacement is an uncommon complication and treatment is often difficult. We experienced three cases in which Ender nails were used for internal fixation to treat this type of fracture. In the two patients had osteopenia, no evident surgical encroachment of the anterior femoral cortex was seen.Use of Ender nails enables the fracture to be fixed for any prostheses shape. Internal fixation allows comparatively early range-of-motion exercises at the knee without the need for long bed rest and extensive surgical exposure. We thus concluded that this technique is useful for treating this type of fracture.