Total Knee Arthroplasty in a Transtibial Amputee

Autor:	Putnis, Sven E, Neri, Thomas, Coolican, Myles R J
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	body regions musculoskeletal diseases total knee arthroplasty surgical procedures operative Amputee Case Report transtibial total knee replacement musculoskeletal system
Zdroj:	Journal of Orthopaedic Case Reports
ISSN:	2321-3817 2250-0685
Popis:	Introduction: With the diversity of prosthetic components patients with a transtibial amputation can now expect to return to high function. Subsequently, the ipsilateral knee is at risk of developing osteoarthritis with a need for a provision of total knee arthroplasty (TKA). Case Report: We describe a novel technique for TKA in a transtibial amputee utilizing navigation with a tibial jig. Post-operative radiographs revealed varus tibial alignment with neutral limb alignment. Resolution of stump swelling allowing accurate prosthesis fitting was seen at 8 weeks. A new prosthesis optimized functional alignment and a return to moderate labor was achieved at 10 weeks. At 1-year postoperatively, patient satisfaction was excellent. Conclusion: Navigation alongside stump alignment is a useful technique. We found that after socket fitting, radiographic tibial varus alignment can correspond with a stump position that allows balanced loading of the knee and excellent function.
Databáze:	OpenAIRE
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