title: Suprapatellar Nailing of Tibial Shaft Fractures in Total Knee Arthroplasty.
abstract: Fractures of the tibial shaft in patients with ipsilateral total knee arthroplasty are rare but difficult to treat. Nonoperative treatment of these fractures with casting or bracing limits weight bearing for an extended period and can result in unacceptable malalignment. Operative fixation with plate and screws also limits early weight bearing and requires healing of soft tissue that is of poor quality. The authors present a method of internal fixation that uses a standard intramedullary tibial nail and suprapatellar instrumentation. This method can easily be performed, avoids the tibial baseplate, and does not require alteration of the instrumentation or intramedullary nail.
authors.affiliation: *Department of Orthopedics Oklahoma State University, St. Anthony's Hospital, Oklahoma City, OK; and †Midtown Orthopedics, Oklahoma City, OK.
authors.forename: Dustin
authors.initials: D
authors.lastname: Woyski
authors.forename: Jason
authors.initials: J
authors.lastname: Emerson
mesh_terms: D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D010329:Patella / Q000601:surgery; D057068:Periprosthetic Fractures / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D013978:Tibial Fractures / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome