Patellar Dislocation Masking a Tibial Post Fracture: An Unusual Complication of Posterior Stabilized Total Knee Arthroplasty.

Autor: Seth A; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Buddhapuram PK; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Kadwad A; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Boddeda S; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Vecham R; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Annapareddy A; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND., Reddy AVG; Department of Orthopedics, KIMS-Sunshine Hospital, Hyderabad, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Nov 17; Vol. 15 (11), pp. e48950. Date of Electronic Publication: 2023 Nov 17 (Print Publication: 2023).
DOI: 10.7759/cureus.48950
Abstrakt: Posterior stabilized total knee arthroplasty (TKA) has established itself as a highly effective design for total knee arthroplasty, renowned for its longevity and success. However, a subset of cases, approximately 6-12%, faces early failure, necessitating revision procedures. This case report presents a unique and previously undocumented complication involving a tibial post fracture following hyperflexion of the knee, masked by chronic patellar dislocation. This case highlights the importance of considering polyethylene wear-related failure in cases of instability without an apparent history of trauma. The surgical intervention involved polyethylene insert exchange, patellar debulking, lateral retinacular release, and quadriceps tendon double-breasting.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Seth et al.)
Databáze: MEDLINE