Thursday, 22 August 2019

Tkr in Arthritic knee with tibial fracture

51
51 year old Pt 10 years post patellectomy presented with fracture  Tibia. Patellectomy was  for infection post fixation for a fracture patella> scar had healed by secondary intention





After couselling the patient we did fixation and Tkr with a stemmed Tina and mobilesed non wt bearing for six weeks
Achieved ROM 10 to 80 degrees with and extensor lag of 10 degrees at 2 months
She was glad to get back to work at 2 months


The option of 2 stage was advised elsewhere is acceptable but the time between 2 stages and overall rehab may be close to 6 months