{
  "abstract": "Proximal fibular fracture is an uncommon complication of total knee arthroplasty (TKA), and published reports have largely described delayed or stress fractures. Evidence regarding management of intraoperatively detected proximal fibular fracture in a valgus TKA is limited. An undisplaced proximal fibular fracture was identified intraoperatively during total knee arthroplasty for valgus knee deformity in a 73-year-old female. Conservative management was pursued because the knee remained clinically stable. Fracture healing was evident at 3 months, and the patient recovered satisfactorily at 1 year without complications. This case demonstrates that conservative management can be considered for an undisplaced proximal fibula fracture detected during TKA. The absence of fracture displacement and preserved knee stability guided non-operative management in this patient. Although this observation does not identify the causative maneuver or permit generalization of treatment decisions, it emphasizes recognition of the injury and assessment of fracture displacement, component position, knee stability, neurologic status, and appropriate pre-operative counseling.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedic Surgery and Sports Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Siddharth Khadilkar",
      "orcid": "0009-0009-2589-215X"
    },
    {
      "affs": [
        0
      ],
      "name": "Ronak J Mahatme",
      "orcid": "0000-0001-8730-221X"
    },
    {
      "affs": [
        0
      ],
      "name": "Shawn Moore",
      "orcid": "0009-0005-4975-5521"
    },
    {
      "affs": [
        0
      ],
      "name": "Anish Gangavaram",
      "orcid": "0009-0009-1126-2819"
    },
    {
      "affs": [
        0
      ],
      "name": "Maduwilla Silva",
      "orcid": "0009-0002-9396-5655"
    },
    {
      "affs": [
        0
      ],
      "name": "Kashif Ashfaq",
      "orcid": "0009-0003-1563-3935"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3pvhs5cgpyrnk.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8388",
  "fulltext_url": "https://europepmc.org/articles/PMC13740995",
  "id": "3pvhs5cgpyrnk",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997176",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Total Knee Arthroplasty Outcomes"
    ]
  ],
  "openalex": "W7225568004",
  "pdf_url": "https://europepmc.org/articles/PMC13740995?pdf=render",
  "pmcid": "PMC13740995",
  "pmid": "42997176",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/3pvhs5cgpyrnk.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997176",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997176"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Total Knee Arthroplasty Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Intraoperative Proximal Fibula Fracture during Total Knee Arthroplasty for Moderate Valgus Knee Deformity: A Case Report.",
  "title_text": "Intraoperative Proximal Fibula Fracture during Total Knee Arthroplasty for Moderate Valgus Knee Deformity: A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/3pvhs5cgpyrnk",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}