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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

Preoperative AP and lateral radiographs.
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fig0010: Preoperative AP and lateral radiographs.

Mentions: As her pain continued to increase over time, she presented to our central hospital; radiographs taken at that time revealed significant osteolysis in the medial condyle of the tibia (Fig. 2). Physical examination revealed a healthy-appearing obese woman in no acute distress and normal examination of the lower extremities. There was a well-healed anterior incision over the left knee without any evidence of skin infection. Active and passive motion of the knee caused pain in the medial part of knee. C-reactive protein, erythrocyte sedimentation rate, thyroid function tests and all other laboratory values were in the normal range. Loosening of the tibial component without any infection was reported on the bone scintigraphy.


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)

Preoperative AP and lateral radiographs.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig0010: Preoperative AP and lateral radiographs.
Mentions: As her pain continued to increase over time, she presented to our central hospital; radiographs taken at that time revealed significant osteolysis in the medial condyle of the tibia (Fig. 2). Physical examination revealed a healthy-appearing obese woman in no acute distress and normal examination of the lower extremities. There was a well-healed anterior incision over the left knee without any evidence of skin infection. Active and passive motion of the knee caused pain in the medial part of knee. C-reactive protein, erythrocyte sedimentation rate, thyroid function tests and all other laboratory values were in the normal range. Loosening of the tibial component without any infection was reported on the bone scintigraphy.

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