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Tibial baseplate fracture associated with polyethylene wear and osteolysis after total knee arthroplasty.

Cankaya D, Yilmaz S, Deveci A, Ozkurt B - Int J Surg Case Rep (2013)

Bottom Line: Tibial baseplate fracture secondary to polyethylene wear, osteolysis and component malalignment in an elderly obese patient is reported in the present article.We discuss the prevention of implant fracture after total knee arthroplasty and address the risk factors associated with this complication.The present case emphasizes the importance of properly informing patients and encouraging them to report such complaints immediately to allow for early revision and prevention of component fracture, especially in patients with risk factors such as obesity and component, malalignment.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Turkey. Electronic address: cankayadeniz78@gmail.com.

No MeSH data available.


Related in: MedlinePlus

Follow-up radiograph revealed varus malalignment of the tibia three years after the total knee arthroplasty.
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fig0005: Follow-up radiograph revealed varus malalignment of the tibia three years after the total knee arthroplasty.

Mentions: A 69-year-old woman had undergone total knee arthroplasty eleven prior due to a diagnosis of primary gonarthrosis. She had a history of hypertension and goiter and was 98 kg and 164 cm tall with a calculated body mass index of 36.43 kg/cm2. Her height and weight were approximately the same when the primary total knee arthroplasty was performed. After this initial procedure, she underwent regular follow-ups every year for five years; her last follow-up was conducted six years prior to presentation, and she was not informed of the need for continued follow-up. Her control radiograph revealed varus malalignment of the tibia three year after the primary surgery (Fig. 1). Approximately a one and a half years prior to presentation, she experienced a slight pain in her operated left knee, which increased over the subsequent six months. When she was admitted to the local hospital, an analgesic drug was prescribed to her.


Tibial baseplate fracture associated with polyethylene wear and osteolysis after total knee arthroplasty.

Cankaya D, Yilmaz S, Deveci A, Ozkurt B - Int J Surg Case Rep (2013)

Follow-up radiograph revealed varus malalignment of the tibia three years after the total knee arthroplasty.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921658&req=5

fig0005: Follow-up radiograph revealed varus malalignment of the tibia three years after the total knee arthroplasty.
Mentions: A 69-year-old woman had undergone total knee arthroplasty eleven prior due to a diagnosis of primary gonarthrosis. She had a history of hypertension and goiter and was 98 kg and 164 cm tall with a calculated body mass index of 36.43 kg/cm2. Her height and weight were approximately the same when the primary total knee arthroplasty was performed. After this initial procedure, she underwent regular follow-ups every year for five years; her last follow-up was conducted six years prior to presentation, and she was not informed of the need for continued follow-up. Her control radiograph revealed varus malalignment of the tibia three year after the primary surgery (Fig. 1). Approximately a one and a half years prior to presentation, she experienced a slight pain in her operated left knee, which increased over the subsequent six months. When she was admitted to the local hospital, an analgesic drug was prescribed to her.

Bottom Line: Tibial baseplate fracture secondary to polyethylene wear, osteolysis and component malalignment in an elderly obese patient is reported in the present article.We discuss the prevention of implant fracture after total knee arthroplasty and address the risk factors associated with this complication.The present case emphasizes the importance of properly informing patients and encouraging them to report such complaints immediately to allow for early revision and prevention of component fracture, especially in patients with risk factors such as obesity and component, malalignment.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Turkey. Electronic address: cankayadeniz78@gmail.com.

No MeSH data available.


Related in: MedlinePlus