ArticleIndian journal of orthopaedics2025
Total Knee Arthroplasty with Plate Osteosynthesis Provides a Reliable Solution for Concurrent Acute Metaphyseal Stress Fractures and Osteoarthritis: A Case Series.
Article in Indian journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Acute metaphyseal tibial stress fractures (AMTSF) in the setting of severe osteoarthritis (OA) were relatively rare. Total knee arthroplasty (TKA) with a long stem was considered the preferred treatment. However, achieving rotational stability solely with a long stem at the metaphyseal level remained questionable. We report four female patients (mean age 65.3 ± 11.8) with AMTSF and severe OA between 2021 and 2022. All presented with sudden pain, weight-bearing inability, swelling, and proximal leg tenderness. Radiographs confirmed complete metaphyseal stress fractures. Each had vitamin D deficiency, and two had secondary hypoparathyroidism. Fractures were stabilized with medial plating to ensure rotational stability and provide a secure foundation for TKA. Knee Society Score and Functional Score improved from 14.8 ± 6.8 and 23 ± 16.2 to 86 ± 8.7 and 85 ± 10.3 (
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