Nonunion of tibial stress fractures in patients with deformed arthritic knees.

نویسنده

  • J Bernard
چکیده

In two years we treated four women with ununited stress fractures of their proximal tibial diaphyses. They all had arthritis and valgus deformity. The stress fractures had been treated elsewhere by non-operative means in three patients and by open reduction and internal fixation in one, but had failed to unite. After treatment with a modular total knee prosthesis with a long tibial stem extension, all the fractures united. A modular total knee prosthesis is suitable for the rare and difficult problem of ununited tibial stress fractures in patients with deformed arthritic knees since it corrects the deformity and the adverse biomechanics at the fracture site, stabilises the fracture and treats the arthritis.

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عنوان ژورنال:
  • The Journal of bone and joint surgery. British volume

دوره 82 3  شماره 

صفحات  -

تاریخ انتشار 1999