Concurrent Femoral and Tibial Osteotomies Versus Soft Tissue Balance in Total Knee Arthroplasty: A Technical Case Report

Overview

Journal J Orthop

Specialty Orthopedics

Date 2017 Jul 15

PMID 28706381

Authors

M Lo Presti

G G Costa

S Cialdella

M P Neri

G Agro

F Iacono

G F Raspugli

M Marcacci

Affiliations

Soon will be listed here.

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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