Management of Tibial stress fracture in Osteoarthritic deformed Knee with Total Knee Arthroplasty
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Stress fractures of the tibia which occurs due to the osteoarthritic deformities are rare and pose a great challenge in management. We managed three such patients with stress fractures of proximal tibia with deformed osteoarthritic knee. All patients had established osteoarthritis of the knee; one patient with genu valgus deformity and the other two with genu varus deformity. All of them underwent a total knee replacement with a long tibial stem extension, and subsequently, their fractures united on followup. All three patients recovered uneventfully with good functional range of movements restored. Correction of extra –articular deformities with the restoration of normal knee mechanics and joint lines along with reduction of tension stresses on the bone and stabilisation of the associated stress fractures and replacement of the arthritic joints can all be done effectively with long stemmed modular total knee arthroplasty implants.
Authors and Affiliations
Dr. J. Pazhani MS Ortho. ,, D. Ortho, Dr. M. Sathish2 *
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