A cautionary case: osteoporotic femur fracture after robotic-assisted total knee arthroplasty.
Publication/Presentation Date
10-1-2021
Abstract
Osteoporosis is a disease of low bone mass which leads to an increased risk of fracture. The prevalence of osteoporosis is greatest amongst postmenopausal women who also form a large portion of patients with osteoarthritis presenting for total knee arthroplasty. We present a case of a 77-year-old female with knee osteoarthritis and osteoporosis on denosumab who underwent robotic-assisted total knee arthroplasty. Postoperatively, she suffered an atraumatic midshaft femur fracture at the pin site associated with the use of intraoperative robotic technology. This is a unique complication related to the use of robotics which requires additional skeletal fixation versus standard arthroplasty surgical technique. We recommend caution and further study regarding the use of robotics in total knee arthroplasty in the setting of osteoporosis and denosumab use.
Volume
32
Issue
10
First Page
2125
Last Page
2129
ISSN
1433-2965
Published In/Presented At
Skibicki, H. E., Ponzio, D. Y., Brustein, J. A., Post, Z. D., Ong, A. C., & Orozco, F. R. (2021). A cautionary case: osteoporotic femur fracture after robotic-assisted total knee arthroplasty. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 32(10), 2125–2129. https://doi.org/10.1007/s00198-021-05977-5
Disciplines
Medicine and Health Sciences
PubMedID
33928403
Department(s)
Department of Surgery
Document Type
Article