Ilizarov External Fixation for a Periprosthetic Tibial Fracture in Severe Osteoporosis: a Case Report

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2020 Mar 6

PMID 32131797

Citations 4

Authors

Koji Nozaka

Naohisa Miyakoshi

Takeshi Sato

Yoichi Shimada

Affiliations

Soon will be listed here.

Abstract

Background: The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is rising due to the increasing number of TKAs performed annually and the growing elderly population. A periprosthetic fracture of the proximal tibia following TKA is a rare injury that may be a challenging clinical scenario.

Case Presentation: The case of an 84-year-old woman who sustained a periprosthetic tibial fracture 10 years after a TKA is presented. This patient had multiple risk factors. The fracture was not deemed amenable to conventional treatment because the bone fragment was too small. This patient underwent fixation of her tibial fracture above the TKA using a five-ring Ilizarov external fixator. This allowed immediate full weight-bearing. The fixator was removed at 12 weeks, at which time the fracture was solidly healed. At the most recent follow-up, 2 years from injury, she was fully weight-bearing without walking aids and had a knee range of motion (ROM) of 0-110°.

Conclusion: To the best of our knowledge, this is the first report in which Ilizarov external fixation has been used for a periprosthetic tibial fracture after TKA.

Citing Articles

Treatment of Bifocal Periprosthetic Fractures above and below a Knee after Tumor using Spanning Ilizarov Device: A Case Report.

Lerner A, Jakusonoka R, Jumtins A, Rothem D J Orthop Case Rep. 2023; 13(9):33-37.

PMID: 37753117 PMC: 10519321. DOI: 10.13107/jocr.2023.v13.i09.3866.

A systematic review of the surgical outcomes of interprosthetic femur fractures.

Rao B, Stokey P, Tanios M, Liu J, Ebraheim N J Orthop. 2022; 33:105-111.

PMID: 35958982 PMC: 9357707. DOI: 10.1016/j.jor.2022.07.013.

Effectiveness of circular hexapod external fixation with soft tissue reconstruction in treating severe knee dislocation due to burn scarring: a case report.

Nozaka K, Miyakoshi N, Saito H, Kijima H, Mita M, Shimada Y BMC Musculoskelet Disord. 2020; 21(1):639.

PMID: 32988378 PMC: 7523045. DOI: 10.1186/s12891-020-03667-7.

Effectiveness of circular external fixator in periprosthetic fractures around the knee.

Nozaka K, Miyakoshi N, Hongo M, Kasukawa Y, Saito H, Kijima H BMC Musculoskelet Disord. 2020; 21(1):317.

PMID: 32438922 PMC: 7243335. DOI: 10.1186/s12891-020-03352-9.

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