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 Adult Knee Reconstruction Test 1: Revision Total Knee Arthroplasty
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The Journal of Bone and Joint Surgery (American) 85:703-707 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Case Report

Impaction Bone-Grafting in the Treatment of a Periprosthetic Fracture of the Tibia

A Case Report

Andrew W. Beharrie, MD and Charles L. Nelson, MD

Investigation performed at the University of Pennsylvania Medical Center, Philadelphia, Pennsylvania

Andrew W. Beharrie, MD
Charles L. Nelson, MD
Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania Medical Center, 3400 Spruce Street, Two Silverstein, Philadelphia, PA 19104-4283. E-mail address for C.L. Nelson: charles.nelson@uphs.upenn.edu

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. One or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from commercial entities (Zimmer and Exactech). No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Fractures of the tibia following total knee arthroplasty are uncommon injuries; they are seen less frequently than distal femoral fractures following total knee arthroplasty 1 . However, with the increasing number of knee arthroplasties that are being performed, the prevalence of periprosthetic tibial fractures is likely to increase. The management of this type of fracture poses a challenge to the orthopaedic surgeon. We present the case of a patient treated with revision total knee arthroplasty involving intramedullary fixation with a long-stem tibial component and impaction bone-grafting. We are unaware of any previously published report in which this technique was used for management of a periprosthetic tibial fracture. Our patient was informed that data concerning her case would be submitted for publication.


   Case Report
 
A sixty-seven-year-old woman presented with a displaced periprosthetic fracture of the right tibia that occurred distal to a loose stemmed tibial component. The medical history included Crohn disease . . . [Full Text of this Article]


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