Total knee arthroplasty in patients with pre-existing fracture deformity

• Published in: Orthopedics (Thorofare, N.J.) Vol. 30; no. 5; pp. 373 - 378
• Main Authors: PAPAGELOPOULOS, Panayiotis J, KARACHALIOS, Theophilos, THEMISTOCLEOUS, George S, PAPADOPOULOS, Elias Ch, SAVVIDOU, Olga D, RAND, James A
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01-05-2007; SLACK INCORPORATED
• Subjects: Arthroplasty, Replacement, Knee - methods; Biological and medical sciences; Femoral Fractures - physiopathology; Femoral Fractures - surgery; Femur - physiopathology; Femur - surgery; Fractures, Ununited - physiopathology; Fractures, Ununited - surgery; Humans; Injuries of the limb. Injuries of the spine; Joint Deformities, Acquired - physiopathology; Joint Deformities, Acquired - surgery; Knee Joint - physiopathology; Knee Joint - surgery; Medical sciences; Orthopedic surgery; Preoperative Care; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tibia - physiopathology; Tibia - surgery; Tibial Fractures - physiopathology; Tibial Fractures - surgery; Traumas. Diseases due to physical agents; Human; Total knee arthroplasty; Orthopedic surgery; Treatment; Diseases of the osteoarticular system; Fracture; Trauma
• ISSN: 0147-7447; 1938-2367
• DOI: 10.3928/01477447-20070501-17

Pre-existing femoral or tibial extra-articular fracture deformity may adversely affect the results of total knee arthroplasty (TKA). This deformity can be addressed with asymmetrical intra-articular resection or with correctional osteotomy performed prior to or at the time of primary TKA. Careful preoperative planning obviates many potential problems that can occur at the time of surgery with correction of many complex deformities.