title: Fracture and nonunion of the proximal tibia below an osteoarthritic knee: treatment by long stemmed total knee replacement.
abstract: Proximal tibial fractures below an osteoarthritic knee have a greater risk of nonunion. Treatment by cast immobilization alone is problematic. Internal fixation alone means the patient will remain handicapped because of the knee. Total knee replacement with a long-stemmed prosthesis treats both the fracture and the arthritic knee.
authors.affiliation: Mount Gould Hospital, Plymouth, Devon, England.
authors.forename: R A
authors.initials: RA
authors.lastname: Wilkes
authors.forename: W G
authors.initials: WG
authors.lastname: Thomas
authors.forename: A
authors.initials: A
authors.lastname: Ruddle
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005599:Fractures, Ununited / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D010003:Osteoarthritis / Q000150:complications*; D011859:Radiography; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*