Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy
Charcot arthropathy of the knee is an extremely rare orthopedic disease that is very challenging for the treating physician and is associated with many complications, especially if it is occurring on both knees. Meanwhile, in the advanced stage, despite many potential complications, TKA is recognize...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/9965640 |
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| author | Spiros Tsamassiotis Henning Windhagen Max Ettinger |
| author_facet | Spiros Tsamassiotis Henning Windhagen Max Ettinger |
| author_sort | Spiros Tsamassiotis |
| collection | DOAJ |
| description | Charcot arthropathy of the knee is an extremely rare orthopedic disease that is very challenging for the treating physician and is associated with many complications, especially if it is occurring on both knees. Meanwhile, in the advanced stage, despite many potential complications, TKA is recognized as the gold standard. However, destruction of the medial tibial plateau is typical for the disease, which makes a stable anchorage of the prosthesis much more difficult. Therefore, we present a case in which sufficient primary stability could be achieved with an asymmetrical second-generation tibial cone with an anatomical design and implantation instruments adapted to the bony anatomy in the presence of severe tibial destruction on both sides. In the two-year follow-up, the patient showed good mobility and stability on both sides. In advanced Charcot arthropathy of the knee, the use of asymmetric tibial cones appears to be an appropriate solution for secure fixation and stability of the implant. |
| format | Article |
| id | doaj-art-50ec0ceb1d634e378e2b04c15a1dd2fe |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-50ec0ceb1d634e378e2b04c15a1dd2fe2025-02-03T01:24:43ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/99656409965640Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot ArthropathySpiros Tsamassiotis0Henning Windhagen1Max Ettinger2Hannover Medical School, Department of Orthopaedic Surgery, Anna-Von-Borries Str. 1-7, 30625 Hannover, GermanyHannover Medical School, Department of Orthopaedic Surgery, Anna-Von-Borries Str. 1-7, 30625 Hannover, GermanyHannover Medical School, Department of Orthopaedic Surgery, Anna-Von-Borries Str. 1-7, 30625 Hannover, GermanyCharcot arthropathy of the knee is an extremely rare orthopedic disease that is very challenging for the treating physician and is associated with many complications, especially if it is occurring on both knees. Meanwhile, in the advanced stage, despite many potential complications, TKA is recognized as the gold standard. However, destruction of the medial tibial plateau is typical for the disease, which makes a stable anchorage of the prosthesis much more difficult. Therefore, we present a case in which sufficient primary stability could be achieved with an asymmetrical second-generation tibial cone with an anatomical design and implantation instruments adapted to the bony anatomy in the presence of severe tibial destruction on both sides. In the two-year follow-up, the patient showed good mobility and stability on both sides. In advanced Charcot arthropathy of the knee, the use of asymmetric tibial cones appears to be an appropriate solution for secure fixation and stability of the implant.http://dx.doi.org/10.1155/2021/9965640 |
| spellingShingle | Spiros Tsamassiotis Henning Windhagen Max Ettinger Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy Case Reports in Surgery |
| title | Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy |
| title_full | Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy |
| title_fullStr | Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy |
| title_full_unstemmed | Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy |
| title_short | Bilateral Primary Total Knee Arthroplasty and Reconstruction of the Medial Tibial Plateau by an Asymmetric Cone in a Patient with Charcot Arthropathy |
| title_sort | bilateral primary total knee arthroplasty and reconstruction of the medial tibial plateau by an asymmetric cone in a patient with charcot arthropathy |
| url | http://dx.doi.org/10.1155/2021/9965640 |
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