
21/07/2024
๐ ๐๐ฎ๐๐ฒ ๐ฆ๐๐๐ฑ๐ ๐ฆ๐ฝ๐ผ๐๐น๐ถ๐ด๐ต๐: ๐๐ผ๐บ๐ฝ๐น๐ฒ๐
๐๐ป๐ฒ๐ฒ ๐ฆ๐๐ฟ๐ด๐ฒ๐ฟ๐ ๐
๐ฉโโ๏ธ ๐ฃ๐ฎ๐๐ถ๐ฒ๐ป๐ ๐ฃ๐ฟ๐ผ๐ณ๐ถ๐น๐ฒ:
72-year-old female
Severe right knee pain, particularly in the medial joint line
Severe varus deformity
๐ฉบ ๐ ๐ฒ๐ฑ๐ถ๐ฐ๐ฎ๐น ๐๐ถ๐๐๐ผ๐ฟ๐:
Previous distal femoral osteotomy performed over 40 years ago
๐ธ ๐ซ-๐ฟ๐ฎ๐ ๐๐ถ๐ป๐ฑ๐ถ๐ป๐ด๐:
Terminal right knee tri-compartmental osteoarthritis
Severe varus deformity of the distal femur
Retained hardware from the previous surgery
๐ฌ ๐ ๐ผ๐ฑ๐ฒ๐ฟ๐ป ๐๐ฝ๐ฝ๐ฟ๐ผ๐ฎ๐ฐ๐ต:
The goal was to perform a total knee replacement that restores the anatomy and the axis of the right lower limb in a single stage. The challenges included:
๐๐ฎ๐ฟ๐ฑ๐๐ฎ๐ฟ๐ฒ ๐ฅ๐ฒ๐บ๐ผ๐๐ฎ๐น:
Difficulty due to possible metal cold welding and bone apposition
Finding the correct screwdriver not commonly used after 40 years
๐ฅ๐ฒ๐ฎ๐น๐ถ๐ด๐ป๐บ๐ฒ๐ป๐ ๐ข๐๐๐ฒ๐ผ๐๐ผ๐บ๐:
Concomitant with the use of a stemmed implant to bypass the osteotomy site
Utilizing a modern plating system to support the fragments and promote healing
๐ฅ๐ฃ๐ผ๐๐-๐ข๐ฝ ๐ฆ๐๐ฐ๐ฐ๐ฒ๐๐:
The patient recovered exceptionally well, achieving excellent pain-free range of motion and full weight-bearing at 1 month post-op.
๐ฌ This case highlights the complexities and advancements in orthopedic surgery, showcasing the ability to overcome significant challenges to restore function and improve the quality of life for our patients.
#๐ข๐ฟ๐๐ต๐ผ๐ฝ๐ฒ๐ฑ๐ถ๐ฐ๐ฆ๐๐ฟ๐ด๐ฒ๐ฟ๐ #๐๐ป๐ฒ๐ฒ๐ฅ๐ฒ๐ฝ๐น๐ฎ๐ฐ๐ฒ๐บ๐ฒ๐ป๐ #๐ง๐ผ๐๐ฎ๐น๐๐ป๐ฒ๐ฒ๐๐ฟ๐๐ต๐ฟ๐ผ๐ฝ๐น๐ฎ๐๐๐ #๐ฉ๐ฎ๐ฟ๐๐๐๐ฒ๐ณ๐ผ๐ฟ๐บ๐ถ๐๐ #๐ข๐๐๐ฒ๐ผ๐ฎ๐ฟ๐๐ต๐ฟ๐ถ๐๐ถ๐ #๐ฆ๐๐ฟ๐ด๐ถ๐ฐ๐ฎ๐น๐๐ป๐ป๐ผ๐๐ฎ๐๐ถ๐ผ๐ป #๐ฃ๐ฎ๐๐ถ๐ฒ๐ป๐๐๐ฎ๐ฟ๐ฒ #๐ฅ๐ฒ๐ฐ๐ผ๐๐ฒ๐ฟ๐๐๐ผ๐๐ฟ๐ป๐ฒ๐ #๐๐ฟ๐๐น๐ฒ๐
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