Evidence map›Paper›PMID 40635956›Full record

ArticleJournal of orthopaedic case reports2025

Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report.

Hiroko Sakamoto, Masaki Nagashima, Ryo Sasaki, Kentaro Tanaka, Mitsuru Yagi

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 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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0citing papers in PubMed
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What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hiroko SakamotoDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3 Mita, Minato-ku, Tokyo, Japan.
Masaki NagashimaDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3 Mita, Minato-ku, Tokyo, Japan.
Ryo SasakiDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3 Mita, Minato-ku, Tokyo, Japan.
Kentaro TanakaDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3 Mita, Minato-ku, Tokyo, Japan.
Mitsuru YagiDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, 852, Hatakeda, Narita city, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Treatment of advanced knee osteoarthritis (OA) with periarticular fractures is challenging, particularly when accompanied by non-union of patellar fractures. In the elderly, multiple surgeries pose disadvantages because they increase the anesthetic risk and the incidence of perioperative complications and prolong the time required for functional recovery. We report a case of advanced knee OA with non-union of a patellar fracture after open reduction and internal fixation (ORIF) that was treated with one-stage total knee arthroplasty (TKA) together with bone grafting. Case Report: An 85-year-old female with advanced OA of the left knee presented with the treatment of non-union of a left patellar fracture following ORIF. Conservative treatment using low-intensity pulsed ultrasound and teriparatide for 1 year proved ineffective, prompting us to perform simultaneous TKA and ORIF of the patellar non-union. One year postoperatively, the patient achieved a favorable outcome. Conclusion: We performed simultaneous left TKA and ORIF with bone grafting in a patient with knee OA and non-union of a patellar fracture. This procedure allowed the bone resected during TKA to be used for bone grafting at the pseudarthrosis site.

Indexed as

Non-union of patellar fractureSingle-stage fixationTotal knee arthroplasty

Identifiers

PMID40635956
PMCPMC12237464

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