title: Tibial stem tip pain in stemmed revision total knee arthroplasty: treatment with tension band plating.
abstract: The use of stemmed modular components in revision total knee arthroplasty has led to increasingly described pain located at the tip of the stem of the implant. This has been described in the literature as being due to the elastic modulus mismatch between the stem tip and the host bone. Current management is re-revision total knee arthroplasty in an attempt to alleviate the mismatch. This case report describes a novel technique using a dynamic compression plate acting as a tension band at the stem tip to successfully treat this condition.
authors.affiliation: Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
authors.forename: Vijai S
authors.initials: VS
authors.lastname: Ranawat
authors.forename: Henry D
authors.initials: HD
authors.lastname: Atkinson
authors.forename: Roger S
authors.initials: RS
authors.lastname: Paterson
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001860:Bone Plates; D005260:Female; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation / Q000009:adverse effects*; D013977:Tibia