title: Simultaneous posterior dislocation of primary total knee arthroplasty with ipsilateral tibial shaft fracture: A case report and review of literature.
abstract: Dislocation following total knee arthroplasty (TKA) is a rare but serious complication. Here, a 74-year-old woman with posterior dislocation of her right cruciate-retaining TKA and ipsilateral tibia diaphysis fracture was presented. She only slipped down on the ground with a quick twist of her right leg. She underwent revision semiconstrained TKA and osteosynthesis of tibial fracture with plate and screw. Her partially avulsed patellar tendon was repaired as well. She was ambulatory with a cane and satisfied with revision operation at last control. Extensor mechanism and functional posterior cruciate ligament is especially important in patients receiving cruciate-retaining TKA. As far as we know, simultaneous dislocation of TKA with fracture of tibia diaphysis has never been reported before.
authors.affiliation: Bursa Yüksek İhtisas Research and Training Hospital, Department of Orthopedics and Traumatology, Yildirim, Bursa, Turkey.
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Öztürk
authors.affiliation: Bursa Yüksek İhtisas Research and Training Hospital, Department of Orthopedics and Traumatology, Yildirim, Bursa, Turkey.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Akalin
authors.affiliation: Bursa Yüksek İhtisas Research and Training Hospital, Department of Orthopedics and Traumatology, Yildirim, Bursa, Turkey.
authors.forename: Nazan
authors.initials: N
authors.lastname: Çevik
authors.affiliation: Bursa Yüksek İhtisas Research and Training Hospital, Department of Orthopedics and Traumatology, Yildirim, Bursa, Turkey.
authors.forename: Mustafa Çınar
authors.initials: MÇ
authors.lastname: Akça
keywords: Cruciate-retaining; Dislocation; Knee; Semi-constrained; Tibia fracture; Total knee replacement; Total knee revision