Primary total knee arthroplasty for elderly complex tibial plateau fractures

Abstract

Objective: The aim of this study is to evaluate the clinical and radiologic results of primary Total KneeArthroplasty (TKA) for elderly complex tibial plateau fractures.Materials and methods: Between November 2010 and February 2012, six cases of elderly complex tibialplateau fractures were treated with primary TKA using the standard medial parapatellar approach. All sixpatients were available at follow up with mean duration of 32.3 months (range 25e41 months). Therewere 3 women and 3 men with an average age of 69.5 years (58e78 years) at the time of thearthroplasty.Results: The mean Hospital for Special Surgery (HSS) knee score was 89.8 (range 85e94): 6/6 excellent.The mean kneeflexion was 119.2(105e130). No signiŞcant postoperative complications were noted.None of these patients had signiŞcant postoperative knee pain required revision surgery, or had radiographic loosening of the components at the latest follow-up.Conclusions: TKA is a suitable solution for the treatment of elderly patients with complex tibial plateaufractures.Level of Evidence: Level IV, Therapeutic study© 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)