Stemmed knee replacement in a patient with an irremovable tibial nail.
A patient with a cemented centrally located intramedullary tibial nail that occluded the proximal tibial canal underwent knee reconstruction with a total knee design utilizing a custom hollow tibial stem. In this oncology case, a rotating-hinge knee design was used that incorporates an intra-articular inverted post-in-channel central rotational post design. This design allowed for a rather straightforward reconstruction that functioned well for 3 years. Although rarely encountered, utilization of a hollow-stemmed tibial total knee component may allow salvage of an extremity with central occlusion of the proximal tibial canal.
Department of Orthopaedic Surgery, Medical Center Boulevard, Wake Forest University Health Sciences, Winston Salem, NC 27157-1070. wgward@wfubmc.edu.
William G
WG
Ward
Joshua M
JM
Cooper
D000293:Adolescent; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation*; D001858:Bone Nails; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D020370:Osteoarthritis, Knee / Q000601:surgery*; D011474:Prosthesis Design; D013977:Tibia / Q000601:surgery*