Impaction Bone-Grafting in the Treatment of a Periprosthetic Fracture of the Tibia

Fractures of the tibia following total knee arthroplasty are uncommon injuries; they are seen less frequently than distal femoral fractures following total knee arthroplasty 1. However, with the increasing number of knee arthroplasties that are being performed, the prevalence of periprosthetic tibial fractures is likely to increase. The management of this type of fracture poses a challenge to the orthopaedic surgeon. We present the case of a patient treated with revision total knee arthroplasty involving intramedullary fixation with a long-stem tibial component and impaction bone-grafting. We are unaware of any previously published report in which this technique was used for management of a periprosthetic tibial fracture. Our patient was informed that data concerning her case would be submitted for publication.