Intraoperative Proximal Fibula Fracture during Total Knee Arthroplasty for Moderate Valgus Knee Deformity: A Case Report.
- 1Department of Orthopaedic Surgery and Sports Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States.
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.
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BibTeX
@article{khadilkar2026intraoperative,
title = {{Intraoperative Proximal Fibula Fracture during Total Knee Arthroplasty for Moderate Valgus Knee Deformity: A Case Report.}},
author = {Siddharth Khadilkar and Ronak J Mahatme and Shawn Moore and Anish Gangavaram and Maduwilla Silva and Kashif Ashfaq},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8388},
url = {https://europepmc.org/article/MED/42997176},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Intraoperative Proximal Fibula Fracture during Total Knee Arthroplasty for Moderate Valgus Knee Deformity: A Case Report.
AU - Siddharth Khadilkar
AU - Ronak J Mahatme
AU - Shawn Moore
AU - Anish Gangavaram
AU - Maduwilla Silva
AU - Kashif Ashfaq
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8388
UR - https://europepmc.org/article/MED/42997176
AB - 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.
SN - 2250-0685
SN - 2321-3817
ER -