Thursday 29 April 2010








68 year old patient with metaphyseal varus deformity of 22 degrees . Planned for TKR.


Is there a need for a metaphyseal osteotomy? An intraarticular correction of more than 10 degreees may be not advisable,both for longevity as well as medial cortical impingement.
We did a transverse metaphyseal osteotomy where the intramedullary stem impinged the cortex( below the stem tibial base plate junction), used an intramedullary tibial cutting jig. used a distal fitting intramedullary stem and cancellous graft was impacted at the osteotomy site.
She was commenced mobilisation with a walker for 6 weeks.



at

1 comment:

  1. Dr Hitesh Gopalan18 May 2010 at 21:12

    Sir,
    isnt it possible to do joint line resection to correct deformity...Rand et al..proposed techniques to correct deformity of upto 15 degree in coronal plane and 20 degree in sagittal plane..Are we concerned with risks of nonunion with above technique?

    Again Rand describes 33% risk of nonunion with extraarticular correction of deformity...Is the cementation technique gonna have any risk for nonunion in the above case.?

    ReplyDelete