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ID 64364
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Author
Yamakawa, Yasuaki Department of Orthopedic Surgery, Kochi Health Sciences Center Kaken ID
Kamatsuki, Yusuke Department of Orthopedic Surgery, Kochi Health Sciences Center
Noda, Tomoyuki Department of Orthopaedic Surgery, Okayama University Hospital ORCID Kaken ID publons
Kure, Miho Department of Orthopaedic Surgery, Okayama University Hospital
Miyazawa, Shinichi Department of Orthopaedic Surgery, Okayama University Hospital ORCID
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons researchmap
Abstract
We report a case of ipsilateral periprosthetic fractures above and below the knee that occurred at different times due to navigation tracker pin and bone fragility. A 66-year-old Japanese woman with rheumatoid arthritis (RA) underwent a total knee arthroplasty. Four months post-surgery, a periprosthetic fracture above the knee at the navigation pin hole was detected. She underwent osteosynthesis and could walk independently, but she developed an ipsilateral tibial component fracture. Conservative treatment with a splint was followed by bone union. Patients with RA treated with oral steroids tend to develop ipsilateral periprosthetic fractures around the knee due to bone fragility.
Keywords
periprosthetic fracture
total knee arthroplasty
navigation system
bone fragility
Amo Type
Case Report
Publication Title
Acta Medica Okayama
Published Date
2023-02
Volume
volume77
Issue
issue1
Publisher
Okayama University Medical School
Start Page
71
End Page
74
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
Copyright Ⓒ 2023 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT