Open AccessManagement of Tibial Shaft Fractures Distal to TKA Prosthesis by Intramedullary Nail: A Report of Three Cases
Author(s) -
Agraharam Devendra,
P Gupta Nishith,
Mohd Zackariya Jaffrulah,
B Roy W Armstrong,
J. Dheenadhayalan,
Shanmuganathan Rajasekaran
Publication year - 2020
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.1007/s43465-020-00142-2
Subject(s) - intramedullary rod , medicine , surgery , periprosthetic , tibia , fixation (population genetics) , diaphysis , fibula , internal fixation , implant failure , implant , osteosynthesis , orthopedic surgery , arthroplasty , population , environmental health
Diaphyseal tibial fractures distal to a well-fixed tibial component although rare present a significant challenge and optimal treatment remains controversial. Displaced periprosthetic tibial shaft fractures are ideally treated with open reduction internal fixation with plate osteosynthesis. However, this treatment method is associated with weight-bearing restrictions, which can be difficult for elderly patients with multiple comorbidities and balance impairment. We present our experience of internal fixation with an intramedullary nail that uses an inferior entry point, standard intramedullary tibial nail, and conventional instrumentation.