Concurrent femoral and tibial osteotomies versus soft tissue balance in total knee arthroplasty: A technical case report

M. Lo Presti, G. G. Costa, S. Cialdella, M. P. Neri, G. Agrò, F. Iacono, G. F. Raspugli, M. Marcacci

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)363-369
Number of pages7
JournalJournal of Orthopaedics
Volume14
Issue number3
DOIs
Publication statusPublished - Sep 1 2017

Keywords

  • Constrained arthroplasty
  • Knee deformities
  • Osteotomy
  • Pie-crusting technique
  • Post-natal osteomyelitis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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