Prahalad Kumar Singhi*, Sivakumar Raju, Atmaram Gadgil and Somashekar V

Senior Consultant, Department of Orthopaedics, Preethi Hospitals Pvt. Ltd, Madurai, Tamilnadu, India

*Corresponding Author: Prahalad Kumar Singhi, Department of Orthopeadic, Preethi Hospitals Pvt Ltd, Madurai, Tamil Nādu, India.

Received: June 27, 2022; Published: September 28, 2022

Abstract

Insufficiency fractures are seen when physiological stress given to pathological bone and needs to be differentiated from fatigue fracture. Management of  these stress fractures depends on etiology, location and radiographic findings. Surgeon should address both biology and stability for satisfactory outcome.

A 54-year-old postmenopausal woman, presented with knee pain diagnosed with tibial meta-diaphyseal insufficiency fracture, treated conservatively with cast, but lost to follow up, subsequently she developed malalignment for which she underwent open reduction deformity correction and fixation elsewhere with an anterolateral plate. Later she presented to us  with deformity, broken plate and non-union. Dual plating with bone grafting was done to achieve desired outcome.

Conclusion: An osteoporotic Insufficiency fracture if not appropriately evaluated and treated may end up in problems. So addressing both biology and stability is key.

Keywords: Metaphysiodiaphyseal Insufficiency Fracture; Failure of Biology; Mechanical Stability

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Citation

Citation: Prahalad Kumar Singhi., et al. “Metaphysiodiaphyseal Insufficiency Fracture of Tibia Failure of Biology and Mechanical Stability: A Case Report".Acta Scientific Orthopaedics 5.10 (2022): 144-148.

Copyright

Copyright: © 2022 Prahalad Kumar Singhi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.