Secondary Osseous Integration of Cementless Unicompartmental Knee Arthroplasty After Internal Fixation of a Felix Type IIIB Fracture: A Case Report. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Afghanyar, Yama; Kutzner, Karl Philipp; Drees, Philipp; Schneider, Michael
• Is Part Of: JBJS case connector. Volume 11:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: UKA -- buttress plate -- TPF -- periprosthetic tibial plateau fracture -- pain -- CT scan -- ORIF -- tibial plateau -- middle age -- male; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00885
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 76-year-old man presented with periprosthetic tibial plateau fracture (TPF), with a completely loosened tibial component 3 weeks after cementless unicompartmental knee arthroplasty (UKA). Internal fixation by buttress plating was performed, and the tibial component was retained and left in situ primarily as a spacer. Revision was planned after fracture consolidation, but at 3 months, the patient was able to walk without support, without pain, and with full range of motion. At 1 year, he is free of complaints. The initial loosened tibial component reintegrated. Conclusion: Internal fixation combined with preserving the loosened tibial component may be a treatment option for TPF involving a cementless UKA.