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BMC Musculoskeletal Disorders

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01-12-2020 | Periprosthetic Fracture | Case report

Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Authors: Koji Nozaka, Naohisa Miyakoshi, Takeshi Sato, Yoichi Shimada

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Abstract

Background

The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is rising due to the increasing number of TKAs performed annually and the growing elderly population. A periprosthetic fracture of the proximal tibia following TKA is a rare injury that may be a challenging clinical scenario.

Case presentation

The case of an 84-year-old woman who sustained a periprosthetic tibial fracture 10 years after a TKA is presented. This patient had multiple risk factors. The fracture was not deemed amenable to conventional treatment because the bone fragment was too small. This patient underwent fixation of her tibial fracture above the TKA using a five-ring Ilizarov external fixator. This allowed immediate full weight-bearing. The fixator was removed at 12 weeks, at which time the fracture was solidly healed. At the most recent follow-up, 2 years from injury, she was fully weight-bearing without walking aids and had a knee range of motion (ROM) of 0–110°.

Conclusion

To the best of our knowledge, this is the first report in which Ilizarov external fixation has been used for a periprosthetic tibial fracture after TKA.

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Title: Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report
Authors: Koji Nozaka
Naohisa Miyakoshi
Takeshi Sato
Yoichi Shimada
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Periprosthetic Fracture
Tibia Fracture
Osteoporosis
Osteoporosis
External Fixator
Published in: BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-020-3176-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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