Total knee arthroplasty with metaphyseal sleeves has a role in selected elderly patients with tibial plateau fractures (TPFs) not amenable to reconstruction. It addresses fixation failure in TPF & enables early mobilization with acceptable outcomes.
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ALT Images depict day one postoperative and fnal follow-up radiographs:
a) Rotating hinge prosthesis at the six-year follow-up showing integration and no subsidence
b) posterior stabilized prosthesis at 12 months follow-up showing a radiolucent line at the tibial baseplate illustrated by the arrow