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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
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