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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
BILATERAL PERI-PROSTHETIC FRACTURES AFTER TOTAL KNEE ARTHROPLASTY IN A PATIENT WITH SEVERE RHEUMATOID ARTHRITIS. A CASE REPORT AND MANAGEMENT APPROACH
Author
Mohammed K.M Ali1*, Abid Hussain2, Ahmed Al wadyia2, CA Mbah2, Simon Cockshott3
Email
Mohammedkhider84@hotmail.com
keyword
Bilateral Peri-prosthetic fractures; Total knee replacement; Management.
Abstract
Periprosthetic fractures following previous total knee replacements are rare injuries and can be extremely challenging and problematic .Rheumatoid arthritis has been reported to be one of the risk factors for periprosthetic fractures A 71 year-old female with a history of severe Rheumatoid arthritis and bilateral total knee replacement, tripped and fell forwards landing onto her knees and sustained minimally displaced left supracondylar fracture and right complex proximal tibia fracture. The left side was treated non-operatively with a hinge brace, non-weight bearing while the right knee needed revision with a long stem. The patient was discharged home after 6 weeks of physiotherapy and rehabilitation, and then subsequently seen in follow-up clinic with a satisfactory outcome. Bilateral periprosthetic fractures are very rare, however extremely challenging for surgeons. This is due to the fact that there is not enough experience in treating these fractures, further complicated due to the large variety of implants and designs together with concepts, and principles needed to be considered in each individual presentation. The management outcome of this particular case was evidently satisfactory for both the patient and the surgical team. Thus by reporting on this case we would like to share our positive experience; very different from the previously reported cases.
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