title: Primary total knee arthroplasty with condylar allograft and MCL reconstruction for a comminuted medial condyle fracture in an arthritic knee--a case report.
abstract: Fractures of the distal femur in the elderly are usually due to low energy ground level fall onto a flexed knee. Pre-existing osteoarthritis and juxta-articular osteopenia in this age group result in high levels of comminution and articular damage at the time of injury, which challenges the management and treatment outcome. Preservation of knee function and early weight bearing should be the objectives of management in the geriatric population. We present in this case report of an elderly patient with comminuted medial condyle fracture with arthritic changes who had primary total knee arthroplasty utilizing condylar allograft and MCL reconstruction as an alternative to internal fixation.
authors.affiliation: Department of Orthopedics, University of Virginia, Charlottesville Virginia, USA. vmounasa@yahoo.com
authors.forename: Varatharaj
authors.initials: V
authors.lastname: Mounasamy
authors.forename: Shen-Ying
authors.initials: SY
authors.lastname: Ma
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Schoderbek
authors.forename: William M
authors.initials: WM
authors.lastname: Mihalko
authors.forename: Khaled J
authors.initials: KJ
authors.lastname: Saleh
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Brown
mesh_terms: D000058:Accidental Falls; D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D002358:Cartilage, Articular / Q000637:transplantation*; D005264:Femoral Fractures / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome