Knee
Total knee replacement
Management of Total Knee Arthroplasty in Post-Traumatic Malunion with Severe Deformity
Managing knee osteoarthritis in the context of a long‑standing post‑traumatic deformity presents substantial technical and strategic challenges. In this case, severe malalignment, instability, and an intricate infectious history demand a careful evaluation of the available reconstructive options.
Part one
Clinical presentation
- Male, 67 years old
- Complex open leg fracture >20 years ago, complicated by infection and skin disorders
- Tricompartmental knee osteoarthritis resistant to conservative treatment
Clinical examination:
- Skin relatively supple
- ROM 0/5/110
- Varus deformity ~20°, partially reducible
- Lateral laxity in extension and at 30° of flexion
- Lateral joint opening during gait
Imaging