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Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report

INTRODUCTION: Post-traumaticOsteoarthritis osteoarthritis of the knee is a common complication following malunited proximal tibia fractures treated by internal fixation. Delayed treatment failed internal fixation native splinting can lead to malunited tibia plateau fractures. CASE REPORT: We report...

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Detalles Bibliográficos
Autores principales: S, Santhosh Srinivasan, UThygarajan, Raj, D Gokul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727454/
https://www.ncbi.nlm.nih.gov/pubmed/31534940
http://dx.doi.org/10.13107/jocr.2250-0685.1378
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author S, Santhosh Srinivasan
UThygarajan,
Raj, D Gokul
author_facet S, Santhosh Srinivasan
UThygarajan,
Raj, D Gokul
author_sort S, Santhosh Srinivasan
collection PubMed
description INTRODUCTION: Post-traumaticOsteoarthritis osteoarthritis of the knee is a common complication following malunited proximal tibia fractures treated by internal fixation. Delayed treatment failed internal fixation native splinting can lead to malunited tibia plateau fractures. CASE REPORT: We report a 10-month-old malunited proximal tibia fracture with osteoarthritis of the knee joint who had underwent native splinting. The patient presented with complaints of pain over the left knee joint and inability to weight bear over his left leg for the past ten 10months. Radiographs showed malunited proximal tibia fracture. Since there were signs of osteoarthritis of the affected knee joint, it was decided to treat primarily by total knee arthroplasty. Postoperatively, the patient could walk freely without a stick and had no pain. The knee was stable and had a full range of movement. CONCLUSION: Post-traumatic knee arthritis is a dreaded complication following both conservative and surgical management of proximal tibia fracture due to immobilization and knee stiffness. The primary use of total knee replacement TKR can be considered an alternative treatment for patients with intra-articular fractures of the tibia not extending past the metaphysical area to provide the patient with a stable and pain-free joint.
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spelling pubmed-67274542019-09-18 Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report S, Santhosh Srinivasan UThygarajan, Raj, D Gokul J Orthop Case Rep Case Report INTRODUCTION: Post-traumaticOsteoarthritis osteoarthritis of the knee is a common complication following malunited proximal tibia fractures treated by internal fixation. Delayed treatment failed internal fixation native splinting can lead to malunited tibia plateau fractures. CASE REPORT: We report a 10-month-old malunited proximal tibia fracture with osteoarthritis of the knee joint who had underwent native splinting. The patient presented with complaints of pain over the left knee joint and inability to weight bear over his left leg for the past ten 10months. Radiographs showed malunited proximal tibia fracture. Since there were signs of osteoarthritis of the affected knee joint, it was decided to treat primarily by total knee arthroplasty. Postoperatively, the patient could walk freely without a stick and had no pain. The knee was stable and had a full range of movement. CONCLUSION: Post-traumatic knee arthritis is a dreaded complication following both conservative and surgical management of proximal tibia fracture due to immobilization and knee stiffness. The primary use of total knee replacement TKR can be considered an alternative treatment for patients with intra-articular fractures of the tibia not extending past the metaphysical area to provide the patient with a stable and pain-free joint. Indian Orthopaedic Research Group 2019 /pmc/articles/PMC6727454/ /pubmed/31534940 http://dx.doi.org/10.13107/jocr.2250-0685.1378 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
S, Santhosh Srinivasan
UThygarajan,
Raj, D Gokul
Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title_full Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title_fullStr Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title_full_unstemmed Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title_short Complex Proximal Malunited Tibial Plateau FractureTreated Primarily by Total Knee Arthroplasty-A Case Report
title_sort complex proximal malunited tibial plateau fracturetreated primarily by total knee arthroplasty-a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727454/
https://www.ncbi.nlm.nih.gov/pubmed/31534940
http://dx.doi.org/10.13107/jocr.2250-0685.1378
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