Displaced Proximal Tibia Fracture After Proximal Tibial Autograft Harvest: A Case Report

Sarah Ryan; Daniel Meeker; Brady Wilkinson; Amal A. Shibli-Rahhal; John E. Femino

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Displaced Proximal Tibia Fracture After Proximal Tibial Autograft Harvest: A Case Report

Journal article

Open access

Peer reviewed

Displaced Proximal Tibia Fracture After Proximal Tibial Autograft Harvest: A Case Report

Sarah Ryan, Daniel Meeker, Brady Wilkinson, Amal A. Shibli-Rahhal and John E. Femino

The Iowa orthopaedic journal, Vol.44(1), pp.31-35

01/01/2024

PMCID: PMC11195900

PMID: 38919341

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195900/View

Published (Version of record) Open Access

Abstract

Background: A 60-year-old female underwent proximal tibial autograft harvest for a Cotton osteotomy. Her postoperative course was complicated by psychogenic non-epileptic seizure (PNES) episodes leading to unintentional weightbearing. Knee radiographs at 6 weeks post-procedure demonstrated a displaced proximal tibia fracture through the autograft harvest site. Further clinical review revealed metabolic derangements consistent with secondary hyperparathyroidism. Initial nonoperative treatment led to atrophic varus nonunion requiring definitive treatment with total knee arthroplasty with revision components. Conclusion: This case describes a rare complication of proximal tibial autograft harvest and highlights the importance of preoperative metabolic workup and bone health optimization.

Foot and Ankle

Details

Title: Subtitle: Displaced Proximal Tibia Fracture After Proximal Tibial Autograft Harvest: A Case Report
Creators: Sarah Ryan - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Daniel Meeker - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Brady Wilkinson - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Amal A. Shibli-Rahhal - University of Iowa
John E. Femino - University of Iowa
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.44(1), pp.31-35
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 38919341
PMCID: PMC11195900
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 01/01/2024
Academic Unit: Orthopedics and Rehabilitation; Surgery; Medicine Administration; Endocrinology and Metabolism; Internal Medicine
Record Identifier: 9984649058802771

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