Fracture of a Polyethylene Tibial Post in Posterior Stabilized Total Knee Replacement. Two Case Reports Report 2 cases

Article Sidebar

PDF (Español (España)) PDF_EN HTML (Español (España))
Published: Feb 11, 2021
DOI: https://doi.org/10.15417/issn.1852-7434.2021.86.1.1116
Keywords:
Tibial post fracture, recurvatum, total knee replacement, posterior stabilized total knee replacement

Main Article Content

César Pesciallo
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
http://orcid.org/0000-0002-4461-8465
Fernando Hernán Lopreite
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
https://orcid.org/0000-0002-2065-8649
Germán Garabano
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
https://orcid.org/0000-0001-5936-0607
Fernando Tillet
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
https://orcid.org/0000-0003-2658-9856
Joaquín Rodríguez
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
https://orcid.org/0000-0002-1089-3071
Hernán del Sel
Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)
https://orcid.org/0000-0002-3655-1408

Abstract

Tibial post fracture after posterior stabilized total knee replacement (TKR) is a uncommon and disabling complication. We report two cases of non-traumatic tibial post fracture, which presented with sudden pain and recurvatum instability in joint replacements with good previous function. For the first case, the presentation time was 12 years from the primary TKR, and for the second it was 14 months. Both presented the same model of a posterior stabilized prosthesis. In both cases, a revision TKR was performed witha rotating hinge prosthesis (Endo-Model NR®, Waldemar Link), without recurrence of the deformity.Level of Evidence: IV

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Pesciallo, C., Lopreite, F. H., Garabano, G., Tillet, F., Rodríguez, J., & del Sel, H. (2021). Fracture of a Polyethylene Tibial Post in Posterior Stabilized Total Knee Replacement. Two Case Reports. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(1), 99-106. https://doi.org/10.15417/issn.1852-7434.2021.86.1.1116
Issue
Vol 86 No 1 (2021)
Section
Case Presentations
Copyright (c) 2021 Revista de la Asociación Argentina de Ortopedia y Traumatología

Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.

In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.

It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.

The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.

Author Biographies

César Pesciallo, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

César Pesciallo, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Fernando Hernán Lopreite, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Fernando H. Lopreite, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Germán Garabano, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Germán Garabano, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Fernando Tillet, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Fernando Tillet, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Joaquín Rodríguez, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Joaquín Rodríguez, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Hernán del Sel, Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

Hernán del Sel, MD. Orthopedics and Traumatology Department, Hospital Británico de Buenos Aires (Buenos Aires, Argentina)

References

1. Fehring TK, Odum S, Griffin WL, Bohannon Mason J, Nadaud M. Early failures in total knee arthroplasty. Clin
Orthop Relat Res 2001;392:315-8. https://doi.org/10.1097/00003086-200111000-00041

2. Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Why are total knee arthroplasties failing today? Clin
Orthop Relat Res 2002;404:7-13. https://doi.org/10.1097/00003086-200211000-00003

3. Valle CJD, Della Valle CJ. Update from the American Association of Hip and Knee Surgeons 2012 Annual Meeting. J Bone Joint Surg Orthopaedic Highlights: Knee Surgery 2013; p.e2. https://doi.org/10.2106/jbjs.ks.l.00519

4. Abdel MP, Haas SB. The unstable knee: wobble and buckle. Bone Joint J Br 2014;96:112-4. https://doi.
org/10.1302/0301-620X.96B11.34325

5. Pesciallo CA, Garabano G, Viollaz G, Oviedo A, Simesen H, del Sel H. Artroplastia total de rodilla en genu
recurvatum. Rev Asoc Argent Ortop Traumatol 2011;76(3):250-3. http://www.aaot.org.ar/revista/2011/n3/Rev_
Asoc_Argent_Ortop_Traumatol_2011_76(3)_250.pdf

6. Vedoya S, Garabano G, del Sel Hernán. Indicación y resultados de la prótesis con estabilidad aumentada en la
artroplastia primaria de rodilla. Rev Asoc Argent Ortop Traumatol 2018;83(2):94-100. https://doi.org/10.15417/
issn.1852-7434.2018.83.2.775

7. Hsu Y, Lin Ch-H, Shu GHF, Hsieh T-J, Huang Chen CK. Fracture of the polyethylene tibial post in the posteriorstabilized total knee prosthesis: arthrographic and CT arthrographic diagnosis. Skeletal Radiol 2019;48(7):1145-8. https://doi.org/10.1007/s00256-019-03173-5

8. Li G, Papannagari R, Most E, Park SE, Johnson T, Tanamal L, Rubash HE. Anterior tibial post impingment
in a posterior stabilized total knee arthroplasty. J Orthop Res 2005;23(3):536-41. https://doi.org/10.1016/j.
orthres.2004.09.005

9. Lim HC, Bae JH, Hwang JH, Kim SJ, Yoon JY. Fracture of a polyethylene tibial post in a Scorpio posteriorstabilized
knee prosthesis. Clin Orthop Surg 2009;1:118-21. https://doi.org/10.4055/cios.2009.1.2.118

10. Lachiewicz PF. How to treat a tibial post fracture in total knee arthroplasty? Clin Orthop Relat Res 2011;469:1709-15. https://doi.org/10.1007/s11999-010-1609-9

11. Furman BD, Lipman J, Kligman M, Wright TM, Haas SB. Tibial post wear in posterior-stabilized knee
replacements is design-dependent. Clin Orthop Relat Res 2008;466:2650-5. https://doi.org/10.1007/s11999-008-
0422-1

12. Diamond OJ, Howard L, Masri B. Five cases of tibial post fracture in posterior stabilized total knee arthroplasty
using Prolong highly cross-linked polyethylene. Knee 2018;25:657-62. https://doi.org/10.1016/j.knee.2018.05.005

13. Annual Report 2017. Australian National Joint Registry Annual Report. Disponible en: https://aoanjrr.sahmri.com/en/annual-reports-2017

14. Paxton EW, Inacio MCS, Kurtz S, Love R, Cafri G, Namba RS. Is there a difference in total knee arthroplasty risk
of revision in highly cross-linked versus conventional polyethylene? Clin Orthop Relat Res 2015;473:999-1008.
https://doi/org/10.1007/s11999-014-4046-3

15. Erceg M, Raki M. Genu recurvatum as a complication after total knee arthroplasty. Acta Clin Croat 2012;51:265-8. PMID: 23115953