Document Detail

Management of knee osteoarthritis presenting with tibial stress fractures.
MedLine Citation:
PMID:  20938599     Owner:  NLM     Status:  MEDLINE    
Stress fractures of the tibia secondary to tibial deformities from osteoarthritis are rare, and may be difficult to manage. We treated two patients with stress fractures of the proximal tibial diaphyses over a period of two years. Both patients had osteoarthritis of the knee; one with genu valgus deformity and the other, genu varus deformity. The former patient also had a distal tibial fracture and had previously undergone open reduction and internal fixation. The stress fractures of both the patients had been treated conservatively by nonoperative means, but their fractures failed to unite. They then underwent a modular total knee prosthesis with a long tibial stem extension, and subsequently, their fractures united. Both patients recovered uneventfully.
Y C Ng; S S Sathappan; H P Wong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Singapore medical journal     Volume:  51     ISSN:  0037-5675     ISO Abbreviation:  Singapore Med J     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-12     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404516     Medline TA:  Singapore Med J     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  e149-52     Citation Subset:  IM    
Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
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MeSH Terms
Compressive Strength
Fractures, Stress / complications,  radiography,  surgery
Genu Valgum
Genu Varum
Knee / abnormalities
Middle Aged
Osteoarthritis, Knee / complications*,  radiography,  surgery
Osteotomy / methods
Tensile Strength
Tibial Fractures / complications*,  radiography,  surgery
Treatment Outcome

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