Intraoperative Tibia Fractures During Primary Total Knee Arthroplasty.

Document Type

Article

Publication Date

8-9-2021

Publication Title

Cureus

Abstract

Intraoperative tibia fractures during primary total knee arthroplasty (TKA) are a known complication, however, the management options and outcome are poorly represented in the orthopedic literature. We performed a thorough literature review and detailed two cases of intraoperative tibia fractures during primary TKA at our institution to determine the mechanism behind these injuries and the optimal treatment strategy. We describe one case of intraoperative tibia fracture during primary posterior stabilized (PS) TKA and one case during primary cruciate retaining TKA. Open reduction and internal fixation with plate and screws, lag screws alone, suture anchors, or tension wiring were the most common treatment options reported in the literature. Although there was no consensus on the optimal postoperative protocol, in our series, both cases achieved satisfactory clinical outcomes with and without further fixation of the fracture. Intraoperative tibia fractures are unforeseeable complications during routine primary TKA and the operating surgeon should be aware of the different strategies in managing these complications.

Volume

13

Issue

8

First Page

e17017

DOI

10.7759/cureus.17017

ISSN

2168-8184

PubMed ID

34522498

Link to Full Text

Share

COinS