Total Knee Arthroplasty With Patient-Specific Instrumentation to Correct Severe Valgus Deformity in a Patient With Hereditary Multiple Exostoses.

Constrained prostheses Hereditary multiple exostoses Metal allergy Patient-specific instrumentation Total knee arthroplasty Valgus deformity

Journal

Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 20 08 2021
revised: 03 04 2022
accepted: 27 04 2022
entrez: 5 7 2022
pubmed: 6 7 2022
medline: 6 7 2022
Statut: epublish

Résumé

Patients with hereditary multiple exostosis develop several benign osseocartilaginous bulge lesions throughout the body. A 62-year-old woman presented for evaluation of worsening left knee valgus deformity, and left knee pain. She had been diagnosed with hereditary multiple exostosis at the age of 12 years. Radiographic evaluation of the left knee revealed exostoses that caused continuous bulges from cortical bone at the metaphyseal regions of the femur and tibia as well as extra-articular deformity. We used patient-specific instrumentation to indicate the direction of the stem into curved metaphyseal bone regions and then corrected the patient's left knee deformity by performing total knee arthroplasty with titanium-constrained prostheses. Soft tissue release was performed with only complete iliotibial band release at a minimum, and stability was obtained.

Identifiants

pubmed: 35789783
doi: 10.1016/j.artd.2022.04.017
pii: S2352-3441(22)00113-3
pmc: PMC9249969
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

175-181

Informations de copyright

© 2022 The Authors.

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Auteurs

Urara Sasaki (U)

Department of Orthopaedic Surgery, Osaka University Hospital, Osaka, Japan.
Department of Rehabilitation Medicine, North Osaka Housenka Hospital, Osaka, Japan.

Masashi Tamaki (M)

Department of Orthopaedic Surgery, Osaka University Hospital, Osaka, Japan.

Tetsuya Tomita (T)

Department of Orthopaedic Biomaterial Science, Osaka University, Osaka, Japan.
Grauate School of Health Sciences, Morinomiya University of Medical Sciences.

Seiji Okada (S)

Department of Orthopaedic Surgery, Osaka University Hospital, Osaka, Japan.

Classifications MeSH