Total knee arthroplasty in the management of proximal tibial stress fractures.

Five patients with stress fractures of the proximal tibia adjacent to an arthritic knee joint were treated by resurfacing arthroplasty with intramedullary fixation of the fracture. All five fractures healed and limb realignment was achieved. The literature concerning proximal tibial stress fractures in relation to the arthritic knee and the management of this condition is reviewed.