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Total Knee Arthroplasty for Complex Osteoarthritic Varus Knee Deformities

Author

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  • Haitham ElDessokey

    (Department of Orthopedics, Ain Shams University, Egypt)

Abstract

Total knee arthroplasty (TKA) is a successful procedure for alleviating pain from advanced degenerative diseases. The chief indications are knee pain, deformity and sometimes instability, in a sedentary or active (but not athletic) subject [1]. Complex varus deformities typically are associated with contracture of soft tissue on the concave side of the deformity with severe laxity on the convex side, and substantial bone loss, in addition to a significant sagittal plane deformity, such as flexion contracture or internal tibial torsion, and sometimes diaphyseal tibial varus deformity [2,3]. The most important step in approaching such knees is preoperative planning that typically involves soft tissue release and bone cuts or additional procedures, such as epicondylar osteotomies or reconstruction procedures to re-establish the mechanical and rotational axes while optimizing ligamentous balance and maximizing range of motion which present difficult challenges in cases of severe varus deformity [1,2-5].

Suggested Citation

  • Haitham ElDessokey, 2018. "Total Knee Arthroplasty for Complex Osteoarthritic Varus Knee Deformities," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 13(1), pages 1-3, September.
    • Handle: RePEc:adp:joroaj:v:13:y:2018:i:1:p:1-3
    DOI: 10.19080/OROAJ.2018.13.555851
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