Elderly people with osteoarthritis of the knee and postpartum women are at risk of insufficiency fractures of the proximal fibular or tibia. We report on an 82-year-old woman with valgus osteoarthritis of the knee who developed insufficiency fractures of the right proximal fibula and then the right proximal tibia. She underwent total knee arthroplasty using a long tibial stem and a tibial locking plate with the Less Invasive Stabilization System.
HongSHChuIT. Stress fracture of the proximal fibula in military recruits. Clin Orthop Surg2009;1:161–4.
2.
LositoJMLairdRCAlexisMRMoraJ. Tibial and proximal fibular stress fracture in a rower. J Am Podiatr Med Assoc2003;93:340–3.
3.
BlairWFHanleySR. Stress fracture of the proximal fibula. Am J Sports Med1980;8:212–3.
4.
DrabickiRRGreerWJDeMeoPJ. Stress fractures around the knee. Clin Sports Med2006;25:105–15.
5.
HasplMJelicMPecinaM. Arthroplasty in treating knee osteoarthritis and proximal tibia stress fracture. Acta Chir Orthop Traumatol Cech2003;70:303–5.
6.
HendelDVelanGJWeisbortM. Intra-articular tibial plateau stress fracture associated with osteoarthrosis and valgus knee deformity. J Arthroplasty1997;12:713–5.
7.
ColePAZlowodzkiMKregorPJ. Treatment of proximal tibia fractures using the less invasive stabilization system: Surgical experience and early clinical results in 77 fractures. J Orthop Trauma2004;18:528–35.
8.
SawantMRBendallSPKavanaghTGCitronND. Nonunion of tibial stress fractures in patients with deformed arthritic knees. Treatment using modular total knee arthroplasty. J Bone Joint Surg Br1999;81:663–6.
9.
BozkurtMTuranliSDoralMNKaracaSDoganMSesenH. The impact of proximal fibula fractures in the prognosis of tibial plateau fractures: A novel classification. Knee Surg Sports Traumatol Arthrosc2005;13:323–8.
10.
SarmientoAKinmanPBLattaLLEngP. Fractures of the proximal tibia and tibial condyles: A clinical and laboratory comparative study. Clin Orthop Relat Res1979;145:136–45.
11.
RaabGEDavisCM3rd. Early healing with locked condylar plating of periprosthetic fractures around the knee. J Arthroplasty2005;20:984–9.
