Lo Presti M, Costa GG, Cialdella S, Neri MP, Agrò G, Iacono F, Raspugli GF, Marcacci M. Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report.
J Orthop 2017;
14:363-369. [PMID:
28706381 DOI:
10.1016/j.jor.2017.06.013]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 06/22/2017] [Indexed: 10/19/2022] Open
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.
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