Intramedullary nailing of tibial shaft fractures distal to total knee arthroplasty.

Abstract:

:Tibial shaft fractures distal to total knee arthroplasty are rare, but they are likely to become more common with the increasing number of arthroplasty procedures being performed. These fracture patterns have been treated in the past either with closed reduction and casting/bracing or with open reduction internal fixation using plates. Weight-bearing precautions in the elderly patient population can affect patient disposition, and weight bearing on extramedullary fixation can lead to early hardware failure. We present a series of nailing techniques that can be used for tibial fractures distal to a well-fixed total knee arthroplasty that avoids the tibial baseplate, provides stable fracture fixation, and allows for early weight bearing.

journal_name

J Orthop Trauma

authors

Haller JM,Kubiak EN,Spiguel A,Gardner MJ,Horwitz DS

doi

10.1097/BOT.0000000000000096

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

e296-300

issue

12

eissn

0890-5339

issn

1531-2291

journal_volume

28

pub_type

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