AI Article Synopsis

  • Extra-articular deformities (EAD) can complicate total knee arthroplasty (TKA) by making it hard to achieve the right hip-knee-ankle (HKA) angle, especially in cases with multiple limb deformities.
  • The case discussed involves a 66-year-old man who had a long-term deformity in his right leg from past fractures and developed knee osteoarthritis, leading to a TKA surgery.
  • Robotic-assisted TKA is becoming more popular and can be more effective than traditional methods, particularly for patients with severe deformities like this one.

Article Abstract

Extra-articular deformities (EAD) can pose a challenge to surgeons during a total knee arthroplasty (TKA) surgery. Obtaining an acceptable post-operative hip-knee-ankle (HKA) angle may be difficult, especially in a limb with multiplanar deformities of both the femur and the tibia.  Our case is about a 66-year-old gentleman with a long-term deformity of his right lower limb secondary to malunion of the right femoral shaft and tibial shaft fractures. He initially presented with a right floating knee injury, 45 years ago, which was managed with conservative measures. He subsequently presented to us with ipsilateral knee osteoarthritis and underwent a robotic-assisted total knee arthroplasty surgery. Robotic- or computer-assisted total knee arthroplasty is an actively developing area and is gaining popularity among arthroplasty surgeons. In cases with severe extra-articular deformities such as in this case, robotic-assisted surgery can be superior to conventional surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446639PMC
http://dx.doi.org/10.7759/cureus.68482DOI Listing

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