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Displaced Proximal Tibia Fracture After Proximal Tibial Autograft Harvest: A Case Report.
Sarah Ryan1, Daniel Meeker1, Brady Wilkinson1
1Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
The Iowa Orthopaedic Journal
|June 26, 2024
Summary
A rare fracture occurred after tibial bone graft harvest due to seizures and secondary hyperparathyroidism. This case emphasizes optimizing bone health before surgery to prevent complications.
Area of Science:
- Orthopedic surgery
- Bone grafting techniques
- Metabolic bone disease
Background:
- A 60-year-old female experienced a proximal tibia fracture post-autograft harvest for a Cotton osteotomy.
- The fracture resulted from unintentional weightbearing due to psychogenic non-epileptic seizures (PNES).
- Metabolic derangements, specifically secondary hyperparathyroidism, were identified as contributing factors.

