Periprosthetic tibial fracture after total knee arthroplasty with popliteal artery injury—A case report

• Main Authors: Hironobu Konishi, Naoki Maegawa, Satoko Nakao, Keisuke Masuda, Akinori Okuda, Yushi Ando, Kenji Kawamura, Kouji Yamamoto, Keita Miyazaki, Yusuke Tada, Keisuke Takano, Hideki Asai, Yasuyuki Kawai, Yasuyuki Urisono, Hidetada Fukushima, Yasuhito Tanaka
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: Trauma Case Reports
• Subjects: Periprosthetic fracture after total knee arthroplasty (TKA); Popliteal artery injury
• Online Access: http://www.sciencedirect.com/science/article/pii/S2352644020300832
• ISSN: 2352-6440

We present the case of a 79-year-old woman who presented at our center with a periprosthetic tibial fracture with a popliteal artery injury after total knee arthroplasty. Anastomosis of the popliteal artery was performed on the day of injury, and was later treated by open reduction and internal fixation. The patient was able to walk 3 months after injury.The present case was difficult to treat because of the arterial injury associated with periprosthetic fracture. Although revision of the implant was considered, open reduction and internal fixation was selected because of the severity of soft-tissue damage. The mechanism of injury is not uncommon, and it is expected that similar fractures will become more prevalent in the future as the number of knee replacement surgeries increases.