Shattered tibia during TKA!!
This happened during a total knee arthroplasty (replacement) surgery, a tibial plateau fracture when the tibial base was inserted due to the force applied. The most common mechanism resulting in a tibial plateau fracture is a valgus force with axial loading. After this, the site of the fracture was fixed by four cancellous screws and the surgeons have completed the surgery with good reduction. Photo by @kamyab_teb
I don't know the age of the patient. But on older ones don't they do a bone density x-ray?
I guess it depends on the facility you work in and local protocols they follow, we would do a DEXA scan if an initial X-Ray indicate significant bone density /mineral loss, then it will be treated/stabilized pre-op, Ofcourse unless its an Emergency situation.
No, they do not. I have had both knees replaced (rheumatoid and osteoarthritis with grade 4 damage).