Simultaneous ipsilateral revision total hip arthroplasty and revision total knee arthroplasty with entire femoral allograft

Treatment of periprosthetic fractures of both total hip arthroplasty and total knee arthroplasty has been well described in the literature. Treatments used have included closed treatment, revision arthroplasty with or without bone graft, open reduction internal fixation with plating, or intramedullary fixation [1-4]. However, treatment of periprosthetic fractures that involve a femur that has both a proximal total hip prosthesis and a distal total knee prosthesis has not been thoroughly described in the literature. We present a persistent distal femoral nonunion of a periprosthetic fracture, which was treated by using an entire femoral allograft with simultaneous ipsilateral revision total hip arthroplasty and total knee arthroplasty.