PROXIMAL TIBIAL SLIDING OSTEOTOMY AS AN ALTERNATIVE SOLUTION FOR PATIENTS WITH PROXIMAL TIBIAL BONE DEFECT AFTER NEGLECTED TIBIAL PLATEAU FRACTURES UNDERGOING TOTAL KNEE ARTHROPLASTY: A CASE REPORT

Muhammad Riyadli

Abstract


Trauma case to the joints, especially the knee joint is a difficult and challenging case to manage. In the initial conditions of trauma, this case may be relatively more rational to do reduction and fixation. However, in cases of delayed treatment, it will be a challenge for an orthopedic, where in the late condition, the knee joint will degenerate earlier and becomes early osteoarthritis. The therapy that can be done depends on the severity of the joint damage itself. One of the actions that can be taken in severe conditions of osteoarthritis is Total Knee Arthroplasty (TKA). But if the defect is very large, a special additional tool is usually needed, which will also be more expensive. We report a 51 years old female patient with secondary osteoarthritis and severe depressed in the medial proximal tibia due to neglected tibial plateau fracture. The patient had a total knee arthroplasty performed with an oblique osteotomy on the medial side of the tibial plateau and shifting it proximally to cover the defect area. The operation went smoothly and the implant used was a primary Posterior Stabilized (PS) TKA implant without metal augmentation. After the procedure, the patient's knee is reassessed. There was improvement in knee deformity, with good stability and full range of motion of the knee. The purpose of this paper is to demonstrate a sliding osteotomy technique for medial proximal tibia in Total Knee Arthroplasty, with the hope of being an alternative solution and reducing additional costs for osteoarthritis cases with a severe defect in the medial proximal tibia.


Keywords


arthroplasty; osteotomy; neglected tibial plateau; post traumatic osteoarthritis

Full Text:

PDF

References


R. Elso, S. Rasmussen, P. Larsen, S. E. Ostgaard, N. P. H. Nielsen and J. Swenne, "Population-Based Epidemiology of Tibial Plateau Fractures," Article in Orthopaedics Volume 38, vol. 9, pp. 780-786 [DOI: 10.3928/01477447-20150902-55], 2015.

K. A. Softness, R. S. Murray and B. G. Evans, "Total Knee Arthroplasty and Fractures of The Tibial Plateau," World Journal of Orthopedics, vol. 8, no. 2, pp. 107-114 [DOI:10.5312/wjo.v8.i2.107], 2017.

O. Ethgen, O. Bruyere, F. Richy, C. Dardennes and J. Y. Reginster, "Health-related quality of life in total hip and total knee arthroplasty. A quantitative and systematic review of the literature," J Bone Joint Surg Am, Vols. 86-A:963-74, 2004.

D. Wasserstein, P. Henry, M. Paterson, H. J. Kreder and R. Jenkinson, "Risk of total knee arthroplasty after operatively treated tibial plateau fracture: a matched-population-based cohort study," The Journal of Bone and Joint Surgery, Vols. 96-A, no. 144-50, http://dx.doi.org/10.2106/JBJS.L.01691, 2014.

D. S. Mastrokalos, G. N. Panagopoulos, D. Koulalis, K. C. Soultanis, V. A. Kontogeorgakos and P. J. Papagelopoulos, "Reconstruction of a Neglected Tibial Plateau Fracture Malunion with an Open-Book Osteotomy," THE JOURNAL OF BONE AND JOINT SURGERY, vol. 7, http://dx.doi.org/10.2106/JBJS.CC.16.00041, 2017.

M. Aurich, V. Koenig and G. Hofmann, "Comminuted intraarticular fractures of the tibial plateau lead to posttraumatic osteoarthritis of the knee: Current treatment review," Asian Journal of Surgery, vol. XX, pp. 1-7 [https://doi.org/10.1016/j.asjsur.2016.11.011], 2017.

G. Gaudin, C. Butcher, S. Lustig, N. Darwish and P. Neyret, "Screw and cement augmentation of tibial defects in primary total knee arthroplasty: satisfactory midterm outcomes," JISAKOS, vol. III, pp. 134-139 [doi:10.1136/jisakos-2017-000174], 2018.

A. C. Filip, S. A. Cuculici, S. Cristea, V. Filip, A. D. Negrea, S. Mihai and C. M. Pantu, "Tibial stem extension versus standard configuration in total knee arthroplasty: a biomechanical assessment according to bone properties," Medicina, vol. 58, p. 634 [https://doi.org/10.3390/ medicina58050634], 2022.

M. L. Purnell, A. I. Larson, K. A. Schnetzler, N. L. Harris and T. Pevny, "Diagnosis and surgical treatment of schatzker type IV variant biplanar medial tibial plateau fractures in alpine skiers," Technique in Knee Surgery, vol. VI, no. 1, pp. 17-28, 2007.

B. Innocenti, E. Truyens, L. Labey, P. Wong, J. Victor and J. Belleman, "Can medio-lateral baseplate position and load sharing induce asymptomatic local bone resorption of the proximal tibia? A finite element study," Journal of Orthopaedic Surgery and Research, vol. IV, no. 26, [doi:10.1186/1749-799X-4-26], 2009.




DOI: https://doi.org/10.46355/hipknee.v3i2.128

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.