RT Journal Article
SR Electronic
T1 Acute presentation of a proximal fibular stress fracture after a total knee arthroplasty
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e234954
DO 10.1136/bcr-2020-234954
VO 14
IS 3
A1 Shibby Robati
A1 Muattaz Kazzam
A1 Daniel McIntyre
A1 David G Wood
YR 2021
UL http://casereports.bmj.com/content/14/3/e234954.abstract
AB A 67-year-old woman underwent a routine and uneventful elective total knee arthroplasty for osteoarthritis at our centre. No intraoperative nor immediate postoperative complications were noted clinically nor radiologically. At 5 weeks postoperative, she began to notice some new discomfort in her upper calf area, with no preceding history of trauma. A Doppler ultrasound scan ruled out a deep vein thrombus. Only on further re-imaging of her knee with X-rays and CT was there shown to be a fibular fracture of the proximal third with evidence of callus formation. The pain arising from her stress fracture delayed her rehabilitation slightly, going on to require a successful manipulation under anaesthetic (0°–95°). She went on to have excellent function in her knee and the pain from the stress fracture had settled by 5 months.