Abstract
There are several case reports or small series of stress tibial fracture around the OA knees in literature.
Our study goes on 10 tibial stress fracture in 9 patients.
All of the fractures have been distal to proximal tibial methaphysis.
8 of them have been in mid shaft or proximal of mid tibia, only 2 had fractures in distal half of tibia 8 were manage by braces for at least 8 months post TKA.
Left side of the Bilateral one was fixed by simple IM nail and in 10 months was changed by TKA.
Another very interesting case after failure of plate fixation without revision of knee was fixed by custom – made extended nail that attached to tibial tray.
Conclusion: for all patients who are candidate to underwent T K A procedure, an update 3 – joints view is mandatory.
Beside of patho anatomy and preoperative planning 3-joints view helps us to assure about peri arthicular stress (pathologic) fractures.
