Primary total knee arthroplasty with condylar allograft and MCL reconstruction for a comminuted medial condyle fracture in an arthritic knee—a case report

The Knee ◽  
2006 ◽  
Vol 13 (5) ◽  
pp. 400-403 ◽  
Author(s):  
Varatharaj Mounasamy ◽  
Shen-Ying Ma ◽  
Robert J. Schoderbek ◽  
William M. Mihalko ◽  
Khaled J. Saleh ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Medial Condyle ◽  
Medial Condyle Fracture ◽  
Total Knee ◽  
Condyle Fracture ◽  
Primary Total Knee ◽  
Arthritic Knee

scholarly journals Intraoperative Femoral Condyle Fracture during Bone Preparation in a Cruciate-retaining Primary Total Knee Arthroplasty

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Babaji Thorat ◽  
Avtar Singh ◽  
Rajeev Vohra ◽  
Dharmesh Patel ◽  
Sheikh Khalid Nisar
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Femoral Condyle ◽  
Primary Total Knee Arthroplasty ◽  
Bony Union ◽  
Medial Condyle ◽  
Cruciate Retaining ◽  
Total Knee ◽  
Condyle Fracture ◽  
Primary Total Knee

Introduction: Intraoperative fracture in revision knee arthroplasty is commonly described. Intraoperative fracture during primary total knee arthroplasty (TKA) is a significant yet infrequently reported complication. The literature about intraoperative fractures during primary TKA is limited. It is usually seen in posterior-stabilized prosthesis during primary TKA, however, its occurrence in cruciate-retaining (CR) primary TKA is rarely reported. Case Report: The authors describe a unique case of intraoperative medial femoral condyle fracture in primary CR TKA during bone preparation. The fracture was managed successfully by fixation with a 3.5 mm screw followed by cemented primary CRTKA. Bony union was achieved with a good clinical outcome as shown by the Knee Society Knee Score of 86 and a Function Score of 90 without any signs of prosthesis failure/loosening at 2 years’ follow-up. Discussion: Careful pre-operative evaluation and planning are necessary for patients with risk factors to avoid poor outcome. A stable internal fixation abiding the standard principles of fracture fixation and arthroplasty is needed to achieve a satisfactory functional and radiographic outcome, thus avoids early prosthetic failure Keywords: Intraoperative fracture, complication, distal femur, medial condyle, primary total knee arthroplasty, cruciate retaining.

scholarly journals Bilateral severe heterotopic ossification following primary total knee arthroplasty: a case report in Pakistan

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Faizan Iqbal ◽  
Nouman Memon ◽  
Syed Shahid Noor ◽  
Nasir Ahmed ◽  
Muhammad Farhan Sozera ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Case Report ◽  
Heterotopic Ossification ◽  
Operative Treatment ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Varus Deformity ◽  
X Rays ◽  
Total Knee ◽  
Primary Total Knee

AbstractThe incidence of unilateral minor heterotopic ossification after primary total knee arthroplasty is still unknown, but bilateral severe heterotopic ossification is rare and has not been reported before. Presented in this report is a 60-year-old female patient who developed bilateral knee pain and stiffness 2 weeks after primary total knee arthroplasty. Her weight was 70 kg and body mass index was 32.2. Preoperatively, she had bilateral varus deformity of both knees. X-rays taken 3 months after surgery revealed bilateral severe heterotopic ossification. The patient had been on non-operative treatment (including anti-inflammatory drugs and physiotherapy). There was a marked improvement 6 months after surgery. This case report showed the non-operative treatment may produce acceptable results for patients with severe bilateral heterotopic ossification after primary total knee arthroplasty, and exerted no influence on the final clinical outcome.

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