Open AccessIliotibial Band Impingement by Overhanging Tibial Tray: A Pain Generator after Total Knee Replacement Treatable without Revision
Author(s) -
Ka-Bon Kwok,
Jason Chi Ho Fan,
Yuk Wah Hung,
Alexander P H Chan,
Tsz-Wan Chow Bernard,
Lawrence Chun-Man Lau
Publication year - 2018
Publication title -
journal of orthopaedics, trauma and rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.167
H-Index - 6
eISSN - 2210-4925
pISSN - 2210-4917
DOI - 10.1016/j.jotr.2017.12.001
Subject(s) - medicine , surgery , total knee replacement , knee pain , total knee arthroplasty , osteoarthritis , alternative medicine , pathology
Soft-tissue impingement can cause disabling pain after total knee arthroplasty. We report a case of painful crepitus over Gerdy's tubercle after total knee replacement. Iliotibial band impingement by overhanging tibial tray was diagnosed. The symptom persisted despite physiotherapy and local corticosteroid injection. A combined arthroscopic and open approach was used to excise intraarticular scarring and release the impinged iliotibial band. The painful crepitus was resolved instantaneously without recurrence at 3 year follow-up. Morbidity associated with component revision has been avoided.