Single-stage long-stem total knee arthroplasty in severe arthritis with stress fracture: a systematic review

Table 2 Treatment used in reviewed papers and complications

Study	Management							Type of implant used	Time of union	Complications
Study	TKA	Conservative	Long-stem TKA (LST)	LST + osteotomy	LST + plating	LST + PFO	LST + PFO + PLATING	Type of implant used	Time of union	Complications
Tomlinson et al. [30]			5					PS
Sawant et al. [31]			3	1				PS
Moskal et al. [13]					1		2	PS
Mullaji et al. [14]	18		13	5		5		PS
Dhillon et al. [8]			6		2			PS	17.3–21.7 weeks	Superficial skin necrosis (n = 1) Stress concentration at stem tip (n = 1)
Mittal et al. [21]			28	3				PS	All united at last follow-up
Jabalameli et al. [20]			17					LCCK 5 GENDER 7 LPS 5	8.3 ± 1.1 weeks
Soundarrajan et al. [26]			18	2				PS PFC 19 GEN II 1	17.3–26 weeks
Rashid et al. [28]			15					PS	19.5 ± 2.6 weeks	Pulmonary embolism (n = 1) Stroke (n = 1)
Shah et al. [15]			31			31	5*	PS PFC	12.2 ± 1.2 weeks 21.1 ± 5.16 weeks
Gill et al. [9]			13				11	PS 16 CCK 5 RHK 3	20.4 weeks	Anterior tibial cortex perforation (n = 1)
Pai et al. [25]			12					CR/AS SIGMA 5 GEN II 7	9.4 weeks
Reddy et al. [27]			17					PS PFC	10.2 ± 2.8 weeks

TKA total knee arthroplasty, LST long-stem total knee arthroplasty, PFO proximal fibular osteotomy PS posterior stabilised, * 5 patient underwent second surgery needing plating

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