Alturki Abdullah A, Alshammari Nayf A, Albassam Abdulrahman L, Aljaafri Ziad A, Almugren Turki S
Department of Orthopedic Surgery, Ministry of the National Guard-Health Affairs, Riyadh, Saudi Arabia.
King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Surg Case Rep. 2023 Jul 8;2023(7):rjad395. doi: 10.1093/jscr/rjad395. eCollection 2023 Jul.
Femoral shaft fracture is one of the most common injuries encountered. However, improper management can lead to significant long-term complications, of which is malunion. Patients with femoral malunion are at increased risk of developing knee osteoarthritis, and if arthroplasty is indicated, these extra-articular deformities pose a challenge as corrective osteotomy and soft tissue release are also required. In such circumstances, robotic arm-assisted total knee arthroplasty (RATKA) might be an appropriate option. In this case, we present a 66-year-old woman who had previously suffered a femur shaft fracture, which was treated conservatively, and developed a varus malunion and severe knee osteoarthritis, and who was treated with RATKA.
股骨干骨折是最常见的损伤之一。然而，处理不当可能导致严重的长期并发症，其中包括畸形愈合。股骨畸形愈合的患者发生膝关节骨关节炎的风险增加，如果需要进行关节置换术，这些关节外畸形会带来挑战，因为还需要进行截骨矫正和软组织松解。在这种情况下，机器人手臂辅助全膝关节置换术（RATKA）可能是一个合适的选择。在此病例中，我们介绍一位66岁的女性，她此前曾发生股骨干骨折，接受了保守治疗，出现了内翻畸形愈合和严重的膝关节骨关节炎，并接受了RATKA治疗。
