title: Primary total knee arthroplasty for elderly complex tibial plateau fractures.
abstract: OBJECTIVE
  The aim of this study is to evaluate the clinical and radiologic results of primary Total Knee Arthroplasty (TKA) for elderly complex tibial plateau fractures.
  
  
  METHODS
  Between November 2010 and February 2012, six cases of elderly complex tibial plateau fractures were treated with primary TKA using the standard medial parapatellar approach. All six patients were available at follow up with mean duration of 32.3 months (range 25-41 months). There were 3 women and 3 men with an average age of 69.5 years (58-78 years) at the time of the arthroplasty.
  
  
  RESULTS
  The mean Hospital for Special Surgery (HSS) knee score was 89.8 (range 85-94): 6/6 excellent. The mean knee flexion was 119.2° (105-130°). No significant postoperative complications were noted. None of these patients had significant postoperative knee pain required revision surgery, or had radiographic loosening of the components at the latest follow-up.
  
  
  CONCLUSIONS
  TKA is a suitable solution for the treatment of elderly patients with complex tibial plateau fractures.
  
  
  METHODS
  Level IV, Therapeutic study.
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
authors.forename: Jie-Feng
authors.initials: JF
authors.lastname: Huang
authors.affiliation: Department of Orthopedics, Wenzhou Medical College-Affiliated Cixi Hospital Cixi, Zhejiang, China. Electronic address: cryorthopaedic@163.com.
authors.forename: Jian-Jian
authors.initials: JJ
authors.lastname: Shen
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
authors.forename: Jun-Jie
authors.initials: JJ
authors.lastname: Chen
authors.affiliation: Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
authors.forename: Pei-Jian
authors.initials: PJ
authors.lastname: Tong
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D007717:Knee / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D013978:Tibial Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Arthroplasty; Fracture; Knee; Tibial plateau