Management Options for Total Knee Arthroplasty in Osteoarthritic Knees With Extra-Articular Tibial Stress Fractures: A 5-Year Experience

Difficult primary knees are fairly common in Asian countries, and tibial stress fractures in deformed osteoarthritic knees add to the challenge. Management options are ill-defined because of limited experience; for 5 years, 8 osteoarthritic knees with extra-articular tibial stress fractures ranging from unicortical stress lesions to frankly mobile fractures were managed by total knee arthroplasty. At mean 42.25 months follow-up, average Knee …