Ra. Wilkes et al., FRACTURE AND NONUNION OF THE PROXIMAL TIBIA BELOW AN OSTEOARTHRITIC KNEE - TREATMENT BY LONG STEMMED TOTAL KNEE REPLACEMENT, The journal of trauma, injury, infection, and critical care, 36(3), 1994, pp. 356-357
Proximal tibial fractures below an osteoarthritic knee have a greater
risk ofnonunion. Treatment by cast immobilization alone is problematic
. Internal fixation alone means the patient will remain handicapped be
cause of the knee. Total knee replacement with a long-stemmed prosthes
is treats both the fracture and the arthritic knee.