A 74-year-old male with alkaptonuria (AKU) was admitted to the emergency department left distal femur pain and Rorabeck type 2 periprosthetic fracture following total knee arthroplasty (TKA). AKU is an autosomal recessive disorder characterized by homogentisic acid buildup in connective tissues joints, leading ochronosis arthritis. Multiple joint replacements are common patients, fractures may ...

The authors retrospectively reviewed 269 patients treated from September 2006 to August 2011 with the minimally invasive plate osteosynthesis (MIPO) technique using a universal reconstruction ribbon plate for fresh displaced midshaft fracture of the clavicle. Mean follow-up was 40.6 months. All had bony union (average healing time, 14.6 weeks). At 2-month postoperative follow-up, the mean Const...