{"title":"单室膝关节置换术后胫腓骨近端骨折一例报告及文献复习。","authors":"Hui Zeng, Jiaobin Cai, Yisheng Chen, Guangbao Liu, Tenfei Chen, Qingliang Cao","doi":"10.52965/001c.133980","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Periprosthetic fractures following unicompartmental knee arthroplasty (UKA) are a relatively rare but clinically significant complication. Among these, proximal tibial and fibular fractures are even more uncommon. If not promptly and effectively treated, such fractures can significantly compromise the outcomes of UKA and the long-term survival of the prosthesis.</p><p><strong>Case: </strong>A 64-year-old female patient suffered a proximal tibiofibular fracture after accidentally falling following a UKA.</p><p><strong>Management and outcomes: </strong>We performed an open reduction and internal fixation (ORIF) for the femoral fracture. One year postoperatively, follow-up examination indicated good fracture healing, stable prosthesis, and satisfactory knee joint range of motion, with no reported pain.</p><p><strong>Conclusion: </strong>The treatment of proximal tibiofibular fractures around the prosthesis after UKA should be based on the specific fracture location and type, the stability of the prosthesis, and the overall health condition of the patient, such as the presence of osteoporosis. Surgical intervention remains a viable option for treatment.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"133980"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103294/pdf/","citationCount":"0","resultStr":"{\"title\":\"Proximal Tibiofibular Fracture Following Unicompartmental Knee Arthroplasty: A Case Report and Literature Review.\",\"authors\":\"Hui Zeng, Jiaobin Cai, Yisheng Chen, Guangbao Liu, Tenfei Chen, Qingliang Cao\",\"doi\":\"10.52965/001c.133980\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Periprosthetic fractures following unicompartmental knee arthroplasty (UKA) are a relatively rare but clinically significant complication. Among these, proximal tibial and fibular fractures are even more uncommon. If not promptly and effectively treated, such fractures can significantly compromise the outcomes of UKA and the long-term survival of the prosthesis.</p><p><strong>Case: </strong>A 64-year-old female patient suffered a proximal tibiofibular fracture after accidentally falling following a UKA.</p><p><strong>Management and outcomes: </strong>We performed an open reduction and internal fixation (ORIF) for the femoral fracture. One year postoperatively, follow-up examination indicated good fracture healing, stable prosthesis, and satisfactory knee joint range of motion, with no reported pain.</p><p><strong>Conclusion: </strong>The treatment of proximal tibiofibular fractures around the prosthesis after UKA should be based on the specific fracture location and type, the stability of the prosthesis, and the overall health condition of the patient, such as the presence of osteoporosis. Surgical intervention remains a viable option for treatment.</p>\",\"PeriodicalId\":19669,\"journal\":{\"name\":\"Orthopedic Reviews\",\"volume\":\"17 \",\"pages\":\"133980\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103294/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopedic Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52965/001c.133980\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedic Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52965/001c.133980","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Proximal Tibiofibular Fracture Following Unicompartmental Knee Arthroplasty: A Case Report and Literature Review.
Introduction: Periprosthetic fractures following unicompartmental knee arthroplasty (UKA) are a relatively rare but clinically significant complication. Among these, proximal tibial and fibular fractures are even more uncommon. If not promptly and effectively treated, such fractures can significantly compromise the outcomes of UKA and the long-term survival of the prosthesis.
Case: A 64-year-old female patient suffered a proximal tibiofibular fracture after accidentally falling following a UKA.
Management and outcomes: We performed an open reduction and internal fixation (ORIF) for the femoral fracture. One year postoperatively, follow-up examination indicated good fracture healing, stable prosthesis, and satisfactory knee joint range of motion, with no reported pain.
Conclusion: The treatment of proximal tibiofibular fractures around the prosthesis after UKA should be based on the specific fracture location and type, the stability of the prosthesis, and the overall health condition of the patient, such as the presence of osteoporosis. Surgical intervention remains a viable option for treatment.
期刊介绍：
Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
