Total knee arthroplasty in patients with extra-articular deformity

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Presentation transcript:

Total knee arthroplasty in patients with extra-articular deformity Kaushik Hazratwala, MBBS, FRACS, Brent Matthews, MBBS, Matthew Wilkinson, MBBS, FRACS, Sergio Barroso-Rosa, MD  Arthroplasty Today  Volume 2, Issue 1, Pages 26-36 (March 2016) DOI: 10.1016/j.artd.2015.11.002 Copyright © 2016 The Authors Terms and Conditions

Figure 1 (a) A standing frontal plane photograph, taken preoperatively. (b) A standing lateral plane photograph taken preoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 2 (a) A lateral radiograph of the right knee, demonstrating 38° of recurvatum, taken preoperatively. (b) An anterior-posterior radiograph of the right knee taken preoperatively. (c) A long-leg standing anterior-posterior radiograph taken preoperatively, demonstrating 13° varus alignment. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Intraoperative photograph of the osteotomy with the IM nail in situ. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Stryker Precision navigation system native knee parameters before any bony resections. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Stryker Precision navigation system recording the dynamic preoperative knee assessment graph. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 6 Stryker Precision navigation system navigation image of the resection level of the proximal tibia. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 7 Stryker Precision navigation system recording the distal femoral resection. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 8 Stryker Precision navigation system recording the posterior condyle resection. AP, anterior posterior axis; TEA, trans epicondylar axis. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 9 Stryker Precision navigation system recording the flexion gap balance. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 10 Stryker Precision navigation system confirming alignment with definitive implants. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 11 Intraoperative photograph after osteotomy, arthroplasty, and bone graft. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 12 Final alignment curve - post osteotomy and post arthroplasty. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 13 Photograph taken in frontal plane at 6 months postoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 14 Photograph taken in the sagittal plane at 6 months postoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 15 Anteroposterior knee radiograph taken at 6 months postoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 16 Lateral knee radiograph taken at 6 weeks postoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 17 Lateral knee radiograph taken at 6 months postoperatively, with evidence of osteotomy union. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions

Figure 18 Anterior-posterior long-leg radiograph taken at 6 months postoperatively. Arthroplasty Today 2016 2, 26-36DOI: (10.1016/j.artd.2015.11.002) Copyright © 2016 The Authors Terms and Conditions