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.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009227 | PMC |
http://dx.doi.org/10.1136/bcr-2020-234954 | DOI Listing |
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