This case report outlines some of the challenges as well as limitations in correction of osteoarthritis of the knee in combination with extra-articular deformities,and provides a novel and straightforward surgical solution in overcoming these challenges. We describe the case of a 37-year-old male who suffered from advanced bilateral tri-compartmental knee arthritis due to untreated bloodstream-sourced osteomyelitis after birth. Radiographs and surgery confirmed extremely severe deformities. We performed two different surgical techniques in order to correct extra-articular deformities (one-stage approach of concurrent tibial and femoral osteotomy and total knee arthroplasty on one side, and soft tissue balancing with “pie-crusting technique” plus total knee arthroplasty on the other side), with description of subsequent results at 36-months follow-up.
Lo Presti, M., Costa, G., Cialdella, S., Neri, M., Agrò, G., Iacono, F., et al. (2017). Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report. JOURNAL OF ORTHOPAEDICS, 14(3), 363-369 [10.1016/j.jor.2017.06.013].
Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report
Lo Presti, M.;COSTA, GIUSEPPE GIANLUCA;Cialdella, S.;AGRO', GIUSEPPE;Iacono, F.;Raspugli, G. F.;Marcacci, M.
2017
Abstract
This case report outlines some of the challenges as well as limitations in correction of osteoarthritis of the knee in combination with extra-articular deformities,and provides a novel and straightforward surgical solution in overcoming these challenges. We describe the case of a 37-year-old male who suffered from advanced bilateral tri-compartmental knee arthritis due to untreated bloodstream-sourced osteomyelitis after birth. Radiographs and surgery confirmed extremely severe deformities. We performed two different surgical techniques in order to correct extra-articular deformities (one-stage approach of concurrent tibial and femoral osteotomy and total knee arthroplasty on one side, and soft tissue balancing with “pie-crusting technique” plus total knee arthroplasty on the other side), with description of subsequent results at 36-months follow-up.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.