Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
We report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 becau...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6443618 |
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| author | Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi |
| author_facet | Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi |
| author_sort | Daisuke Fukuhara |
| collection | DOAJ |
| description | We report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 because her right knee joint pain worsened. The range of motion for her right knee was 80° and -5° of flexion and extension, respectively, and she experienced medial weight-bearing pain. A plain X-ray image showed that the right knee joint had end-stage knee OA with a bone defect inside the tibia, and the tibial plateau shape was the pagoda type. There was a marked instability in her right knee with a valgus of 9° and varus of 7° on stress photography. She underwent TCVO on her right knee and was allowed full load four weeks after surgery. Computed tomography imaging showed bone union nine months after surgery. Two years after the operation, there was no correction loss, and she could walk independently without pain. In general, total knee arthroplasty (TKA) is indicated for end-stage knee OA; however, there are problems, such as early loosening due to the increased mechanical load on the knee after hip OA. In this case, since a good course was obtained, TCVO is considered a treatment option for terminal knee OA after hip arthrodesis. |
| format | Article |
| id | doaj-art-554aff2f08d549cb984e637bbd36631e |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-554aff2f08d549cb984e637bbd36631e2025-08-20T03:34:21ZengWileyCase Reports in Orthopedics2090-67572021-01-01202110.1155/2021/6443618Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip ArthrodesisDaisuke Fukuhara0Hiroaki Inoue1Shuji Nakagawa2Yuji Arai3Kenji Takahashi4Department of OrthopaedicsDepartment of OrthopaedicsDepartment of Sports and Para-Sports MedicineDepartment of Sports and Para-Sports MedicineDepartment of OrthopaedicsWe report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 because her right knee joint pain worsened. The range of motion for her right knee was 80° and -5° of flexion and extension, respectively, and she experienced medial weight-bearing pain. A plain X-ray image showed that the right knee joint had end-stage knee OA with a bone defect inside the tibia, and the tibial plateau shape was the pagoda type. There was a marked instability in her right knee with a valgus of 9° and varus of 7° on stress photography. She underwent TCVO on her right knee and was allowed full load four weeks after surgery. Computed tomography imaging showed bone union nine months after surgery. Two years after the operation, there was no correction loss, and she could walk independently without pain. In general, total knee arthroplasty (TKA) is indicated for end-stage knee OA; however, there are problems, such as early loosening due to the increased mechanical load on the knee after hip OA. In this case, since a good course was obtained, TCVO is considered a treatment option for terminal knee OA after hip arthrodesis.http://dx.doi.org/10.1155/2021/6443618 |
| spellingShingle | Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis Case Reports in Orthopedics |
| title | Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis |
| title_full | Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis |
| title_fullStr | Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis |
| title_full_unstemmed | Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis |
| title_short | Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis |
| title_sort | tibial condyle valgus osteotomy for ipsilateral knee osteoarthritis after hip arthrodesis |
| url | http://dx.doi.org/10.1155/2021/6443618 |
| work_keys_str_mv | AT daisukefukuhara tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT hiroakiinoue tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT shujinakagawa tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT yujiarai tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT kenjitakahashi tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis |