Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism
By analyzing a case of total knee arthroplasty (TKA) in a knee with complex deformity and secondary osteoarthritis, we demonstrated the rationale of preoperative planning and the detail of intraoperative execution. The lady had right TKA with combined medial closing wedge femoral osteotomy, neutral...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-01-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499017718911 |
| _version_ | 1818559217393467392 |
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| author | Jason CH Fan KB Kwok YW Hung |
| author_facet | Jason CH Fan KB Kwok YW Hung |
| author_sort | Jason CH Fan |
| collection | DOAJ |
| description | By analyzing a case of total knee arthroplasty (TKA) in a knee with complex deformity and secondary osteoarthritis, we demonstrated the rationale of preoperative planning and the detail of intraoperative execution. The lady had right TKA with combined medial closing wedge femoral osteotomy, neutral wedge valgus derotational tibial osteotomy, fibular osteotomy, and quadriceplasty. Four months later, she had left TKA. Osteotomies healed well and she was pain-free at 18 months after right TKA. Combination of intra-articular and extra-articular correction of deformity was the key to achieve a well-aligned TKA with good soft tissue balancing in both coronal and sagittal planes. The choice of osteotomy fixation method should follow the principles of bone healing. Fibular osteotomy should have been made at the level of tibial osteotomy with caution. Use of appropriate TKA prosthesis could have enhanced the osteotomy fixation while decreasing the complication. |
| first_indexed | 2024-12-14T00:22:31Z |
| format | Article |
| id | doaj.art-e6b4bb6029074b58a6c3ba3c4a77e39a |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-14T00:22:31Z |
| publishDate | 2018-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-e6b4bb6029074b58a6c3ba3c4a77e39a2022-12-21T23:25:11ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902018-01-012610.1177/2309499017718911Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanismJason CH Fan0KB Kwok1YW Hung2 Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, Hong Kong Sar Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, Hong Kong Sar Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong, Hong Kong SarBy analyzing a case of total knee arthroplasty (TKA) in a knee with complex deformity and secondary osteoarthritis, we demonstrated the rationale of preoperative planning and the detail of intraoperative execution. The lady had right TKA with combined medial closing wedge femoral osteotomy, neutral wedge valgus derotational tibial osteotomy, fibular osteotomy, and quadriceplasty. Four months later, she had left TKA. Osteotomies healed well and she was pain-free at 18 months after right TKA. Combination of intra-articular and extra-articular correction of deformity was the key to achieve a well-aligned TKA with good soft tissue balancing in both coronal and sagittal planes. The choice of osteotomy fixation method should follow the principles of bone healing. Fibular osteotomy should have been made at the level of tibial osteotomy with caution. Use of appropriate TKA prosthesis could have enhanced the osteotomy fixation while decreasing the complication.https://doi.org/10.1177/2309499017718911 |
| spellingShingle | Jason CH Fan KB Kwok YW Hung Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism Journal of Orthopaedic Surgery |
| title | Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism |
| title_full | Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism |
| title_fullStr | Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism |
| title_full_unstemmed | Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism |
| title_short | Total knee arthroplasty in a knee with triple deformity of femur–tibia–extensor mechanism |
| title_sort | total knee arthroplasty in a knee with triple deformity of femur tibia extensor mechanism |
| url | https://doi.org/10.1177/2309499017718911 |
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