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Total Knee Arthroplasty in Osteoarthrosis Complicated with Stress Fractures

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Knee Arthroplasty

Abstract

Osteoarthrosis (OA) of knee complicated by proximal tibial stress fracture requires a comprehensive treatment of the fracture, arthritis, and deformities. Total knee arthroplasty (TKA) with long stem has emerged as a promising option for OA with tibial stress fracture.

Stress fractures can be easily missed because early radiographs do not show the fracture line in many cases. Magnetic resonance imaging (MRI) is more sensitive and specific than other investigations. Treatment is mainly of two types, nonoperative and operative. Nonoperative treatment gives a high failure rate in presence of OA. Operative treatment can be TKA, TKA with long stem with or without plate fixation. Malunited fractures can be addressed with intra-articular correction in less severe cases, but may require extraarticular osteotomy if the deformity is severe. Use of computer navigation, constrained prosthesis, offset tibial stem extenders, locking plates, and bone graft application should be done whenever required. Complication rate is quite low for this method of treatment, but utmost care in preoperative planning and execution of the procedure is essential for getting predictable results.

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Authors and Affiliations

  1. Ganga Hospital, Coimbatore, India

    Dhanasekara Raja Palanisami

  2. National Board (Arthroplasty), Ganga Hospital, Coimbatore, India

    Kashyap Zala

  3. Department of Orthopaedic Surgery, Ganga Hospital, Coimbatore, India

    S. Rajasekaran

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  1. Dhanasekara Raja Palanisami
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  2. Kashyap Zala
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  3. S. Rajasekaran
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Editors and Affiliations

  1. Department of Orthopedics, Asian Institute of Medical Sciences, Faridabad, India

    Mrinal Sharma

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Palanisami, D.R., Zala, K., Rajasekaran, S. (2022). Total Knee Arthroplasty in Osteoarthrosis Complicated with Stress Fractures. In: Sharma, M. (eds) Knee Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-16-8591-0_13

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  • DOI: https://doi.org/10.1007/978-981-16-8591-0_13

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  • Print ISBN: 978-981-16-8590-3

  • Online ISBN: 978-981-16-8591-0

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