Acute Primary Total Knee Arthroplasty for Proximal Tibial Fractures in Elderly

Authors

  • Aalireza Manafi Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
  • Gholamhossein kazemian Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
  • Mohammad M. Omidian Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
  • Mohammad M. Sarzaeem Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
Abstract:

Background: Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challengingcases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA)in this patient population.Methods: PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of agewith osteoporosis or knee OA between 2005 and 2009. Three constrained condylar knees (CCK) and no hinged kneeprosthesis were used. Patients were followed up for 4.5±1.1 years.Results: Patients were discharged after 4.6±1.2 days. The postoperative Tegner activity scale (3.5±1.3) was improvedsignificantly compared to the preoperative scale (2.5±1.2) (P

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Long- Stem Total Knee Arthroplasty for Proximal Tibial Stress Fractures in the Elderly Patients

Background: Presentation of proximal tibia stress fracture is not infrequent among elderly patients due to their poorbone stock. Optimal management of patients with severe gonarthrosis of the knee and concurrent tibial stress fracture isnot known yet. In this study we report the outcome of primary total knee arthroplasty (TKA) using stemmed componentsin elderly patients.Methods: Between 2009 an...

full text

Acute Primary Total Knee Arthroplasty for Proximal Tibial Fractures in Elderly.

Background Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challenging cases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA) in this patient population. Methods PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of age with osteoporosis or ...

full text

Primary Total Knee Arthroplasty for Simple Distal Femoral Fractures in Elderly Patients with Knee Osteoarthritis

PURPOSE Primary total knee arthroplasty (TKA) can be an alternative method for treating distal femoral fractures in elderly patients with knee osteoarthritis. The purpose of this study was to evaluate the clinical and radiographic results in patients with knee osteoarthritis who underwent TKA with the Medial Pivot prosthesis for distal femoral fractures. MATERIALS AND METHODS Eight displaced ...

full text

Total knee arthroplasty and fractures of the tibial plateau

Tibial plateau fractures are common injuries that occur in a bimodal age distribution. While there are various treatment options for displaced tibial plateau fractures, the standard of care is open reduction and internal fixation (ORIF). In physiologically young patients with higher demand and better bone quality, ORIF is the preferred method of treating these fractures. However, future total k...

full text

Primary knee arthroplasty for distal femoral fractures in elderly patients.

We discuss the role of primary knee arthroplasty in supracondylar and intercondylar fractures of the femur in elderly patients with reference to 13 cases. This method of treatment is shown to be effective and to have good results. It is recommended for all type C and some type A supracondylar fractures in old people.

full text

The all-polyethylene tibial component in primary total knee arthroplasty.

Outcomes of total knee arthroplasties performed with modern all-polyethylene tibial components have been found to be comparable with or better than those of arthroplasties done with metal-backed modular components in numerous mid-to-long-term follow-up studies, radiostereometric analyses, and the few prospective randomized trials available. Advantages of an all-polyethylene tibial component ove...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 5  issue 5

pages  302- 307

publication date 2017-09-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023