Tibial shaft stress fractures resulting from placement of navigation tracker pins.
The use of navigation during joint arthroplasty is believed to allow better placement of components. Gross fracture or stress fracture through navigation tracker pin placement is a complication reported in the literature. This case series presents details of stress fracture of tibial shaft through navigation pin track in 3 patients of 220 cases who underwent total knee arthroplasty at our institution. All the fractures eventually healed after a course of protected weight bearing. As a result, we use smaller-diameter self-tapping and self-drilling pins routinely and avoid placement of pins in the diaphysis and ensure that pins are inserted in different plains during insertion into metaphysis.
Hoke
David
D
Rothman Institute of Orthopedics, Thomas Jefferson UniversityHospital, Philadelphia, PA, USA.
Jafari
S Mehdi
SM
Orozco
Fabio
F
Ong
Alvin
A
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails / Q000009:adverse effects*; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D015775:Fractures, Stress / Q000000981:diagnostic imaging / Q000209:etiology* / Q000534:rehabilitation; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000534:rehabilitation; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology