Supracondylar fracture of the femur following total knee arthroplasty.

Three supracondylar femur fractures above total knee arthroplasties in two patients were treated with a Brooker-Wills intramedullary locking nail. All three fractures healed while preserving nearly all of the prefracture range of motion. The nail provides stable internal fixation with good control of rotation and allows early range of motion. The technique can be considered if the fracture is at least 8 cm proximal to the joint line.