Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report
Introduction: Treatment of advanced knee osteoarthritis (OA) with periarticular fractures is challenging, particularly when accompanied by non-union of patellar fractures. In the elderly, multiple surgeries pose disadvantages because they increase the anesthetic risk and the incidence of perioperati...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-07-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/07/01/simultaneous-tka-and-revision-of-post-orif-patellar-non-union-with-bone-grafting-a-case-report/ |
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| _version_ | 1849405077635203072 |
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| author | Hiroko Sakamoto Masaki Nagashima Ryo Sasaki Kentaro Tanaka Mitsuru Yagi |
| author_facet | Hiroko Sakamoto Masaki Nagashima Ryo Sasaki Kentaro Tanaka Mitsuru Yagi |
| author_sort | Hiroko Sakamoto |
| collection | DOAJ |
| description | Introduction:
Treatment of advanced knee osteoarthritis (OA) with periarticular fractures is challenging, particularly when accompanied by non-union of patellar fractures. In the elderly, multiple surgeries pose disadvantages because they increase the anesthetic risk and the incidence of perioperative complications and prolong the time required for functional recovery. We report a case of advanced knee OA with non-union of a patellar fracture after open reduction and internal fixation (ORIF) that was treated with one-stage total knee arthroplasty (TKA) together with bone grafting.
Case Report:
An 85-year-old female with advanced OA of the left knee presented with the treatment of non-union of a left patellar fracture following ORIF. Conservative treatment using low-intensity pulsed ultrasound and teriparatide for 1 year proved ineffective, prompting us to perform simultaneous TKA and ORIF of the patellar non-union. One year postoperatively, the patient achieved a favorable outcome.
Conclusion:
We performed simultaneous left TKA and ORIF with bone grafting in a patient with knee OA and non-union of a patellar fracture. This procedure allowed the bone resected during TKA to be used for bone grafting at the pseudarthrosis site. |
| format | Article |
| id | doaj-art-a021c2d8ad5f4154b6c43cf448b7590f |
| institution | Kabale University |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-a021c2d8ad5f4154b6c43cf448b7590f2025-08-20T03:36:45ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-07-0115715716210.13107/jocr.2025.v15.i07.5806Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case ReportHiroko SakamotoMasaki NagashimaRyo SasakiKentaro TanakaMitsuru YagiIntroduction: Treatment of advanced knee osteoarthritis (OA) with periarticular fractures is challenging, particularly when accompanied by non-union of patellar fractures. In the elderly, multiple surgeries pose disadvantages because they increase the anesthetic risk and the incidence of perioperative complications and prolong the time required for functional recovery. We report a case of advanced knee OA with non-union of a patellar fracture after open reduction and internal fixation (ORIF) that was treated with one-stage total knee arthroplasty (TKA) together with bone grafting. Case Report: An 85-year-old female with advanced OA of the left knee presented with the treatment of non-union of a left patellar fracture following ORIF. Conservative treatment using low-intensity pulsed ultrasound and teriparatide for 1 year proved ineffective, prompting us to perform simultaneous TKA and ORIF of the patellar non-union. One year postoperatively, the patient achieved a favorable outcome. Conclusion: We performed simultaneous left TKA and ORIF with bone grafting in a patient with knee OA and non-union of a patellar fracture. This procedure allowed the bone resected during TKA to be used for bone grafting at the pseudarthrosis site.https://jocr.co.in/wp/2025/07/01/simultaneous-tka-and-revision-of-post-orif-patellar-non-union-with-bone-grafting-a-case-report/total knee arthroplastynon-union of patellar fracturesingle-stage fixation |
| spellingShingle | Hiroko Sakamoto Masaki Nagashima Ryo Sasaki Kentaro Tanaka Mitsuru Yagi Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report Journal of Orthopaedic Case Reports total knee arthroplasty non-union of patellar fracture single-stage fixation |
| title | Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report |
| title_full | Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report |
| title_fullStr | Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report |
| title_full_unstemmed | Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report |
| title_short | Simultaneous TKA and Revision of Post-ORIF Patellar Non-union with Bone Grafting: A Case Report |
| title_sort | simultaneous tka and revision of post orif patellar non union with bone grafting a case report |
| topic | total knee arthroplasty non-union of patellar fracture single-stage fixation |
| url | https://jocr.co.in/wp/2025/07/01/simultaneous-tka-and-revision-of-post-orif-patellar-non-union-with-bone-grafting-a-case-report/ |
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