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Here’s a new case by Dr. Mehta and Dr. Jones of a TKA Periprosthetic Fx in 83F.
An 83-year-old female presents with right hip pain. The patient reports that she was walking to her car, dropped her keys, caught her foot on the curb of the sidewalk and landed on her right side. She had immediate deformity and pain to the right thigh. She denies any open wounds. The patient denies any other injuries including head trauma or LOC. She denies any numbness or tingling in her affected lower extremity. She denies previous pain in her right knee and hip prior to her fall.
Her past surgical history is notable for a right TKA for osteoarthritis and a right IMN s/p a intertrochanteric femur fracture. Her past medical history is notable for atrial fibrillation.
Focused physical examination of the right lower extremity demonstrates visible deformity at the right thigh. Circumferentially there are no open wounds or skin tenting. Sensation intact to light touch grossly. DP pulse are palpable. Capillary refill time is brisk. Motor exam is intact to EHL, FHL, TA, GS. Compartments are soft to palpation.
If you choose Operative management, what procedure would you perform?
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