Mr. Sawant et al., Nonunion of tibial stress fractures in patients with deformed arthritic knees - Treatment using modular total knee arthroplasty, J BONE-BR V, 81B(4), 1999, pp. 663-666
Citations number
14
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
In two years we treated four women with ununited stress fractures of their
proximal tibial diaphyses, They all had arthritis and valgus deformity The
stress fractures had been treated elsewhere by non-operative means in three
patients and by open reduction and internal fixation in one, but had faile
d to unite. After treatment with a modular total knee prosthesis with a lon
g tibial stem extension, all the fractures united.
A modular total knee prosthesis is suitable for the rare and difficult prob
lem of ununited tibial stress fractures in patients with deformed arthritic
knees since it corrects the deformity and the adverse biomechanics at the
fracture site, stabilises the fracture and treats the arthritis.