One-Stage Total Knee Arthroplasty Plus Corrective Osteotomy for Osteoarthritis Associated With Severe Extra-articular Deformity

The mainstay for treatment of articular deformity caused by advanced tricompartmental osteoarthritis of the knee is total knee arthroplasty. When this is also associated with an extra-articular deformity, this also must be compensated or corrected. In this scenario, it is essential to achieve an opt...

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Bibliographic Details
Main Authors: Julio de Pablos Fernández, M.D., Ph.D., Lucas Arbeloa-Gutierrez, M.D., Antonio Arenas-Miquelez, M.D.
Format: Article
Language:English
Published: Elsevier 2019-11-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719301604
Description
Summary:The mainstay for treatment of articular deformity caused by advanced tricompartmental osteoarthritis of the knee is total knee arthroplasty. When this is also associated with an extra-articular deformity, this also must be compensated or corrected. In this scenario, it is essential to achieve an optimal mechanical situation by restoring the anatomical and mechanical limb axes and an adequate soft-tissue balance. These premises are necessary to relieve pain and achieve satisfactory functionality and implant survival over time. A reconstructive single-stage technique is proposed for patients with knee osteoarthritis amenable to arthroplasty and a severe extra-articular deformity, aiming at addressing both problems simultaneously.
ISSN:2212-6287