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