{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:02Z","timestamp":1756325402759,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,7,31]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>A 67-year-old woman underwent a routine and uneventful elective total knee arthroplasty for osteoarthritis at our centre. No intraoperative nor immediate postoperative complications were noted clinically nor radiologically. At 5\u2009weeks postoperative, she began to notice some new discomfort in her upper calf area, with no preceding history of trauma. A Doppler ultrasound scan ruled out a deep vein thrombus. Only on further re-imaging of her knee with X-rays and CT was there shown to be a fibular fracture of the proximal third with evidence of callus formation. The pain arising from her stress fracture delayed her rehabilitation slightly, going on to require a successful manipulation under anaesthetic (0\u00b0\u201395\u00b0). She went on to have excellent function in her knee and the pain from the stress fracture had settled by 5\u2009months.<\/jats:p>","DOI":"10.1136\/bcr-2020-234954","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T11:15:32Z","timestamp":1617016532000},"page":"e234954","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute presentation of a proximal fibular stress fracture after a total knee arthroplasty"],"prefix":"10.1136","volume":"14","author":[{"given":"Shibby","family":"Robati","sequence":"first","affiliation":[{"name":"Orthopaedics, North Sydney Orthopaedic and Sports Medicine Centre, Wollstonecraft, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muattaz","family":"Kazzam","sequence":"additional","affiliation":[{"name":"Trauma & Orthopaedics, Maidstone and Tunbridge Wells NHS Trust, Maidstone, 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