Sivana Leigh Barron, BA, Brian J. McGrory, MD, MS Arthroplasty Today

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Presentation transcript:

Total knee arthroplasty in a patient with ipsilateral calcific myonecrosis Sivana Leigh Barron, BA, Brian J. McGrory, MD, MS Arthroplasty Today Volume 4, Issue 4, Pages 421-425 (December 2018) DOI: 10.1016/j.artd.2018.09.011 Copyright © 2018 The Authors Terms and Conditions

Figure 1 Preoperative left knee radiographs. Bilateral anteroposterior (a), left standing posteroanterior flexion (b), Merchant (c), and left lateral (d) knee radiographs. Note medial tibial bone loss and varus deformity. Posterior tibial translation and patella baja are evident on the lateral view. The images suggested a prior proximal tibial fracture, including a possible prior fracture on the Merchant view and an anterior tibial slope on the lateral view. Standing bilateral (e) radiographs show bilateral varus deformity (left greater than right) and speckled calcification within the left pretibial mass. Arthroplasty Today 2018 4, 421-425DOI: (10.1016/j.artd.2018.09.011) Copyright © 2018 The Authors Terms and Conditions

Figure 2 Radiographs and CT scan of patient’s lower extremity to characterize mass. Anteroposterior (a) and lateral (b) tibia/fibula radiographs showing large anterior soft tissue mass with speckled calcifications. CT coronal (c) and axial (d) as well as 3-dimensional anteroposterior (e) and lateral (f) reconstruction views demonstrating anterior compartment mass with peripherally oriented amorphous calcifications, which are linear and sheet-like. The center is homogeneous. Arthroplasty Today 2018 4, 421-425DOI: (10.1016/j.artd.2018.09.011) Copyright © 2018 The Authors Terms and Conditions

Figure 3 Anteroposterior (a) and lateral (b) views at 1 year postoperatively. Note satisfactory alignment and cement interdigitation, with patella baja. Front (c) and side (d) clinical photographs show a well-healed incision, satisfactory alignment, and range-of-motion. Arthroplasty Today 2018 4, 421-425DOI: (10.1016/j.artd.2018.09.011) Copyright © 2018 The Authors Terms and Conditions