Catastrophe after TKR Periprosthetic Fracture

Treated Successfully at Nanavati


A 78-year old female who had undergone Bilateral Total Knee Replacement 6 months ago from another hospital, sustained an accidental fall and developed Supracondylar Periprosthetic Fracture.


After pre-operative planning, the team of doctors at Nanavati Super Speciality Hospital performed the reconstruction Revision TKR surgery. They reconstructed the crumbled bone with specially made Tantalum Metal cone (TMcone) which has bone forming capacity with structural support as a replacement distal condylar part of femur. It is manufactured specifi cally for such reconstruction. It has exclusive feature of bone forming ability as per modern international research apart from providing mechanical stability. It is available in various sizes specifi c for left or right sides. It fi ts accurately to the residual available bone. It needs reinforcement with bone graft to help biological bone formation. Strength and shape is specially designed to fi t revision TKR prosthesis having intramedullary stem support for femur and tibia. Since it is cemented, stability and mobility is achieved immediately. The patient is permitted to walk full weight bearing with stable mobility upto 120 degree knee movement.


Post operation the patient was discharged after 5 days. Follow up after one year post operation shows excellent fi tting of revision TKR with functional mobility and stability.


Dr. (Prof.) Pradeep

Dr. (Prof.) Pradeep

B. Bhosale
Director, Arthritis & Joint
Replacement Surgeries
Orthopaedics & Joint
Nanavati Super Speciality
Hospital, Mumbai