Table of Contents    
CASE REPORT
 
Reversed tibial locking plates in management of traumatic ipsilateral periprosthetic fractures of the distal femur and proximal tibia after total knee arthroplasty
Rishya Manikam1, CS Kumar2, Nasir Mohamad3,
1Senior Lecturer/ Emergency Consultant, Accident & Emergency Department, Department of Accident and Emergency Medicine, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
2Senior Lecturer/ Orthopedic Surgeon, Department of Orthopaedic Surgery, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
3Senior Lecturer/ Emergency Consultant, Department of Emergency Medicine, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan; Malaysia.

doi:10.5348/ijcri-2011-05-34-CR-4

Address correspondence to:
Dr. Rishya Manikam
Department of Accident and Emergency Medicine
University Malaya Medical Centre
59100 Kuala Lumpur
Malaysia
Phone: +0060123292226
Fax: +0060379494198
Email: rishyaman@yahoo.com

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How to cite this article:
Manikam R, Kumar CS, Mohamad N. Reversed tibial locking plates in management of traumatic ipsilateral periprosthetic fractures of the distal femur and proximal tibia after total knee arthroplasty. International Journal of Case Reports and Images 2011;2(5):21-25.


Abstract
Introduction: Ipsilateral distal femoral and proximal tibial periprosthetic fracture following total knee arthroplasty is a rare complication presented to the Emergency Department.
Case Report: We report a case of a 50-year-old man who underwent a right total knee arthroplasty one year ago and presented with periprosthetic fractures following a motor vehicle accident. He sustained comminuted fracture of lower third of right femur and proximal tibia, thus producing "Floating Total Knee" but the knee implants remained intact. He was subsequently treated with two reversed tibial locking plates for the femur and a single locking plate for the tibia.
Conclusion: Early and prompt management of this condition warrants a comprehensive orthopaedic management which results in a good clinical outcome. We also review various treatment modalities described before for the treatment of periprosthetic fractures.

Key Words: Floating total knee, Total knee arthroplasty, Periprosthetic fracture

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Author Contributions:
Rishya Manikam - Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published.
CS Kumar - Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published.
Nasir Mohamad - Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published.
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
The author(s) declare no conflict of interests
Copyright:
© Rishya Manikam et. al. 2011; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)