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Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Internal tibial plateau fractures following a unicompartmental knee arthroplasty
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Vol. 55. Issue 3.
Pages 210-214 (May - June 2011)
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Vol. 55. Issue 3.
Pages 210-214 (May - June 2011)
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Internal tibial plateau fractures following a unicompartmental knee arthroplasty
Fractura de platillo tibial interno tras artroplastia unicompartimental de rodilla
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A. de Prado-López
Corresponding author
antoniodeprado@hotmail.com

Corresponding author.
, M. Román-Torres, J.M. Sotillo-Mármol
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Reina Sofía, Córdoba, Spain
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Abstract

The aim of the article is to report the existence of internal tibial plateau fractures as a possible complication in certain circumstances following a unicompartmental knee replacement.

We report a patient who suffered a fracture of the internal tibial plateau after unicompartmental knee arthroplasty (UKA) that required revision surgery with a bone and mesh allograft.

Peri-prosthetic fractures after a unicompartmental knee arthroplasty are rare but with the increasing indications for this procedure in recent years there are more and more cases with complications that can be a challenge for the orthopaedic surgeon.

When there is a periprosthetic fracture in a unicompartmental knee arthroplasty, revision total joint replacement with bone and mesh allograft can provide good results, maintaining the functionality and avoiding long periods of immobilization.

Keywords:
UKA complication
Periprosthetic fracture
Total knee arthroplasty
Bone allograft
Resumen

El objetivo del artículo es comunicar la existencia de fracturas del platillo tibial interno como posible complicación en determinadas circunstancias tras un reemplazo articular unicompartimental de la rodilla.

Presentamos el caso de una paciente, que sufrió una fractura del platillo tibial interno, tras artroplastia unicompartimental de rodilla, y que precisó la cirugía de revisión con aloinjerto óseo y malla.

Las fracturas periprotésicas tras una artroplastia unicompartimental de rodilla son poco frecuentes, aunque con el aumento de indicaciones de este procedimiento en los últimos años, cada vez nos encontramos más casos de solución compleja y que pueden suponer un reto para el cirujano ortopédico.

Tras la aparición de una fractura periprotésica en una rodilla con una artroplastia unicompartimental, la revisión a una artroplastia total con aloinjerto óseo y malla puede aportar buenos resultados, preservando la funcionalidad y evitando largos períodos de inmovilización.

Palabras clave:
Complicación artroplastia unicompartimental de rodilla
Fractura periprotésica
Artroplastia total de rodilla
Aloinjerto óseo
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Copyright © 2011. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
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