Potential complications of total knee replacement following tibial osteotomy.
Ligament balancing in total knee replacement allows the correction of virtually any intra-articular deformity and the use of a semi-constrained knee. The capacity for overcorrection to balance extra-articular deformities is, however, quite limited. The authors found this to be true in a case requiring tibial osteotomy after total knee replacement. Eventually, the patient required a long-stem hinge prosthesis. After this case, the authors have preferred to correct extra-articular bony deformities of more than 15 degrees prior to total knee replacement.
Cameron
H U
HU
University of Toronto, Ontario, Canada.
Welsh
R P
RP
D006801:Humans; D007719:Knee Joint / Q000502:physiology / Q000601:surgery; D007720:Knee Prosthesis; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009068:Movement; D010027:Osteotomy / Q000009:adverse effects*; D013977:Tibia / Q000601:surgery*