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

doi:10.1016/j.jor.2017.06.013

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 journal › Article

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 language	English
Pages (from-to)	363-369
Number of pages	7
Journal	Journal of Orthopaedics
Volume	14
Issue number	3
DOIs	https://doi.org/10.1016/j.jor.2017.06.013
Publication status	Published - 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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10.1016/j.jor.2017.06.013

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Lo Presti, M., Costa, G. G., Cialdella, S., Neri, M. P., Agrò, G., Iacono, F., Raspugli, G. F., & Marcacci, M. (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. https://doi.org/10.1016/j.jor.2017.06.013

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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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