Total knee replacement in a dog with a non-union type B3 tibial plateau fracture

2014 ◽  
Vol 27 (02) ◽  
pp. 159-165
Author(s):  
A. M. Wallace ◽  
K. Parsons ◽  
G. R. Colborne ◽  
N. J. Burton
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fracture Fragment ◽  
Secondary Osteoarthritis ◽  
Non Union ◽  
Plateau Fracture ◽  
Total Knee ◽  
Union Type

SummaryA six-year-old German Shorthaired Pointer was presented with a 12 month history of left pelvic limb lameness following trauma. Clinical examination revealed marked thickening and reduced range-of-motion of the left stifle and radiographs were suggestive of a nonunion type B3 tibial plateau fracture with severe secondary osteoarthritis. Total knee replacement was performed with adjunctive stabilization of the proximal tibial fracture fragment. Clinical follow-up at six and 12 months with quantitative gait analysis revealed significant improvement in limb function.

scholarly journals Primary total knee replacement for tibial plateau fractures in older patients: a systematic review of 197 patients

2021 ◽  
Author(s):  
V. Tapper ◽  
A. Toom ◽  
K. Pamilo ◽  
T. Niinimäki ◽  
J. Nieminen ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Older Patients ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Primary Treatment ◽  
Tibial Plateau Fractures ◽  
Plateau Fracture ◽  
Total Knee ◽  
Primary Total Knee

Abstract Introduction Tibial plateau fractures are typically treated with osteosynthesis. In older patients, osteosynthesis is associated with some complications, risk of post-traumatic osteoarthritis and long partial, or non-weight bearing during the recovery phase. To avoid these problems, primary total knee replacement (TKR) has become an increasingly common treatment option. The aim of this study was to evaluate all the relevant literature and summarize the current evidence-based knowledge on the treatment of tibial plateau fractures with primary TKR in older patients. Materials and methods A systematic literature search of studies on total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture was conducted using OVID Medline, Scopus, and Cochrane databases from 1946 to 18 November 2019. We included all studies without restrictions regarding total knee replacement (TKR) as primary treatment for acute traumatic tibial plateau fracture. Results Of the 640 reviewed articles, 16 studies with a total of 197 patients met the inclusion criteria. No controlled trials were available, and the overall quality of the literature was low. The results, using different clinical scoring systems, were good or fair. Four-year follow-up complication (6.1%) and revision (3.6%) rates after primary TKR appeared to be lower than after secondary TKR (complication rate 20–48%, revision rate 8–20%) but higher than after elective primary TKR. Conclusion Based on low-quality evidence, TKR appears to be a useful treatment option for tibial plateau fractures in older patients. Controlled trials are mandatory to determine the relative superiority of these two options as primary treatment of tibial plateau fractures in older patients.

Outcomes of knee replacement in patients with posttraumatic arthritis due to previous tibial plateau fracture

2019 ◽  
Vol 30 (2) ◽  
pp. 323-328
Author(s):  
Zachariah Pinter ◽  
Aaradhana Jivendra Jha ◽  
Andrew McGee ◽  
Kyle Paul ◽  
Sung Lee ◽  
...  
Keyword(s):  
Knee Replacement ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Posttraumatic Arthritis ◽  
Plateau Fracture

Total knee arthroplasty following tibial plateau fracture

2015 ◽  
Vol 97-B (4) ◽  
pp. 532-538 ◽  
Author(s):  
C. E. H. Scott ◽  
E. Davidson ◽  
D. J. MacDonald ◽  
T. O. White ◽  
J. F. Keating
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Plateau Fracture ◽  
Total Knee

Intraoperative tibial plateau fracture during bone preparation in a cruciate retaining primary total knee arthroplasty

2020 ◽  
Vol 13 (9) ◽  
pp. e233826
Author(s):  
Shea K Taylor ◽  
Andrew Sephian ◽  
Timothy Clader
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Rare Complication ◽  
Primary Total Knee Arthroplasty ◽  
Medial Tibial Plateau ◽  
Cement Penetration ◽  
Plateau Fracture ◽  
Total Knee

Intraoperative fractures are a rare complication in total knee arthroplasty. Limited literature exists in regard to the incidence, mechanism of injury and management of intraoperative fractures. The authors report a unique case of an 80-year-old man who sustained a medial tibial plateau fracture that occurred intraoperatively during final tibia bone preparation with the use of the Woolley Tibia Punch (Innomed, Savannah, Georgia, USA). The fracture was managed with the addition of 4.5 mm cortical lag screws and the addition of a stemmed tibial implant to bypass the fracture. This is the first reported case in literature that describes an intraoperative medial tibial plateau that occurred through the use of a Woolley Tibia Punch. The authors recommend the consideration of drilling to prepare sclerotic bone for cement penetration rather than a punch in order to minimise the potential for intraoperative fractures that may occur with the use of a punch.

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