Department of Orthopedics, Asama General Hospital, Saku City, Nagano, Japan.
Department of Orthopedics and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Honkomagome, Bunkyo-ku, Tokyo, Japan.
JBJS Case Connect. 2023 Mar 22;13(1). doi: e22.00601. eCollection 2023 Jan 1.
A 76-year-old female patient with a history of pyogenic arthritis of the right knee in childhood presented with severe osteoarthritis of the right knee with 24-mm femoral shortening and severe extra-articular femoral varus deformity. She received single-stage total knee arthroplasty (TKA) combined with a medial open-wedge distal femoral osteotomy and achieved good postoperative clinical and radiological results.
This case illustrated that extra-articular open-wedge distal femoral osteotomy and TKA performed simultaneously may be efficacious for severe extra-articular deformities with femoral shortening.
一名 76 岁女性患者，儿时患有化脓性膝关节炎，现右膝严重骨关节炎，股骨短缩 24mm，严重的关节外股骨内翻畸形。行一期全膝关节置换术（TKA）联合内侧开放式楔形股骨远端截骨术，术后临床和影像学结果良好。
本病例表明，对于伴有股骨短缩的严重关节外畸形，关节外开放式楔形股骨远端截骨术和 TKA 同期进行可能是有效的。
