Periprosthetic fracture of the tibial plateau after unicompartmental knee arthroplasty.
The authors report three cases of unicompartmental knee arthroplasty (UKA), complicated with peri-operative periprosthetic fracture of the tibial plateau. The surgical technique was held responsible in all cases. The initial treatment was different in every case; all patients ultimately underwent revision total knee arthroplasty with a good functional outcome. The authors emphasise the importance of careful preparation of the tibial plateau during UKA, adequate sizing of the tibial component and caution when using a hammer during implantation of the tibial component. When a tibial plateau fracture occurs, the treatment of choice should be immediate revision total knee arthroplasty.
Van Loon
Pieter
P
Department of Orthopaedic Surgery, University Hospital Pellenberg, Catholic University of Leuven, Pellenberg, Belgium. pieter.vanloon@student.kuleuven.be
de Munnynck
Bart
B
Bellemans
Johan
J
D001178:Arthroplasty / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008875:Middle Aged; D012086:Reoperation; D013978:Tibial Fractures / Q000209:etiology*