Manipulation
Stiff
Arthrolysis a b s t r a c tBackground: Adequate range of knee motion is critical for successful total knee arthroplasty.While aggressive physical therapy is an important component, manipulation may be a necessary supplement. There seems to be a lack of consensus with variable practices existing in managing stiff postoperative knees following arthroplasty. Hence we aim to determine the current practice and trend among knee surgeons throughout the United Kingdom.
Cases of osteonecrosis of the jaw, insufficiency fractures and atypical low energy or atraumatic fractures of pelvis, femur (subtrochanteric/mid-shaft/distal-third), tibia, fibula, metatarsal, humerus, and ulna related to long-term bisphosphonate therapy have been reported in the literature. We present the case of an acute nontraumatic clavicle fracture, associated with long-term bisphosphonate therapy, which to our knowledge has not been reported previously. This case highlights the need of critical evaluation of patients with atypical fractures during long-term bisphosphonate therapy.
HighlightsMetatarsal coalition is rare.This is the second reported case occurring at the level of distal metatarsal.Timing of ossification of coalition varies from one anatomical site to another.Surgery performed before complete ossification of the coalition risks recurrence.Conservative management should be persevered until skeletal maturity.
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