title: Post-Traumatic Periprosthetic Tibial and Fibular Fracture After Total Ankle Arthroplasty: A Case Report.
abstract: Periprosthetic fractures after total ankle arthroplasty are uncommon, with most cases occurring intraoperatively. We describe a post-traumatic periprosthetic fracture of the distal tibia and fibula after total ankle arthroplasty that was treated with minimally invasive plate osteosynthesis. It is important for orthopedic surgeons not only to recognize the risk factors for postoperative periprosthetic total ankle arthroplasty fractures, but also to be familiar with the treatment options available to maximize function and minimize complications. The design of the tibial prosthesis and surgical techniques required to prepare the ankle joint for implantation are important areas of future research to limit the risk of periprosthetic fractures.
authors.affiliation: Medical Student, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: Amanda K
authors.initials: AK
authors.lastname: Brock
authors.affiliation: Orthopedic Surgeon, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: Eric W
authors.initials: EW
authors.lastname: Tan
authors.affiliation: Assistant Professor, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD. Electronic address: editorialservices@jhmi.edu.
authors.forename: Babar
authors.initials: B
authors.lastname: Shafiq
mesh_terms: D000368:Aged; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D058737:Arthroplasty, Replacement, Ankle / Q000009:adverse effects / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D002370:Casts, Surgical; D005360:Fibula / Q000293:injuries / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery; D057068:Periprosthetic Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation / Q000379:methods; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: minimally invasive plate osteosynthesis; periprosthetic fracture; prosthetic design; total ankle arthroplasty; trauma