• Der Unfallchirurg · Nov 2008

    Case Reports

    [Trauma hospital. Knee arthroplasty as primary therapy for proximal tibial fracture].

    • N Schwarz, W Buchinger, M Mähring, R Schedl, and H K Widhalm.
    • UnfallkrankenhausKlagenfurt, Waidmannsdorferstrasse 35, 9021 Klagenfurt, Osterreich. nikolaus.schwarz@auva.at
    • Unfallchirurg. 2008 Nov 1; 111 (11): 928-32.

    AbstractTen patients aged 55-85 years with a tibial head fracture AO B3 or C3 were treated primarily by implantation of an endoprosthesis. There were one unilateral, three superficial, and six revision-type prostheses. Follow-up was 6 months to 3 years; two patients were lost to follow-up. There were no intra- or postoperative complications except one deep infection which could be cured by repeated arthroscopic lavage. At last follow-up all eight patients were completely or almost pain free; the extension deficit was less than 10 degrees , and flexion was 100 degrees or more. Primary endoprosthetic replacement of the knee joint is a valuable procedure for the treatment of complex tibial head fractures in elderly patients.

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