Total Knee Arthroplasty in Severe Valgus Osteoarthritis Excellent Early Results in a 90-Year-Old Patient with a Valgus Deformity of 47°

Ismailidis, Petros; Kernen, Rolf; Mueller, Sebastian Andreas

doi:10.1155/2017/9301017

Cited by 5 publications

(9 citation statements)

References 21 publications

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“…In our study, we observed knee flexion reaching 130°, with a limited extension of 5°, whereas Ismailidis et al reported a maximal flexion of 100° and an extension deficit of 15° [ 19 ]. Utomo et al noted a limited right knee range of motion from 10° to 145° of flexion [ 20 ].…”

Section: Discussioncontrasting

confidence: 52%

“…While Ranawat’s classification suggests that grade-I valgus deformities are passively correctable [ 2 ], but we performed TKR for a grade-I valgus (8°) deformity in a 34-year-old male due to severe OA-related pain in the right knee. Ismailidis et al reported a TKR case of a 90-year-old female with grade III valgus arthritis, having a valgus angle of 47° [ 19 ]. A study by Utomo et al reported a 71-year-old female patient with grade III valgus (32°) arthritis who underwent TKR [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Total Knee Replacement in a Young Patient with Valgus Knee Osteoarthritis: A Case Report

Ahsan,

Ezaz,

Jahan

et al. 2024

jocr

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Introduction: Valgus deformity is characterized by an outward angulation of the knee joint. The most common cause of valgus deformity is osteoarthritis (OA), a prevalent progressive joint disease that causes chronic pain and functional limitations. Total knee replacement (TKR) is rarely done in patients with grade-I valgus deformity and young age. To the best of our knowledge, this is the first case report of its kind. Case Report: A 34-year-old man presented to us with 15 years of persistent, progressively worsening right knee pain that was interfering with his daily activities. No non-operative treatment could alleviate his severe pain. Physical examination revealed a positive valgus stress test, limited knee extension, and an asymmetrical gait. He was diagnosed with a grade-I valgus deformity of the right osteoarthritic knee. History, physical examination, and radiological findings confirmed the diagnosis. In consideration of severe pain and impaired quality of life, we opted to perform TKR using a medial parapatellar approach. Regular follow-ups were done after the procedure. He experienced no pain or recurrence of deformity. He was very satisfied with the result. His Western Ontario and McMaster Universities OA Index score at 12 months following surgery was 5, indicating a favorable outcome. Conclusion: This case exhibits the effectiveness of TKR in treating grade-I valgus deformity of the osteoarthritic knee with severe pain in a young adult, resulting in improved pain alleviation, mobility, joint alignment, and overall quality of life. Keywords: Valgus deformity, osteoarthritic knee, total knee replacement, medial parapatellar approach.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Total Knee Replacement in a Young Patient with Valgus Knee Osteoarthritis: A Case Report

Ahsan,

Ezaz,

Jahan

et al. 2024

jocr

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“…However, Lizaur-Utrilla et al 27 found that TKA provided pain, relief, satisfaction, and improvement in quality of life for octogenarian patients to the same level as septuagenarian patients. Ismailidis et al 28 wrote a case report of a 90-year-old patient with grade III valgus deformity undergoing TKA. After 3 months of rehabilitation, she had an improvement in quality of life and mobility.…”

Section: Patient Factors Agementioning

confidence: 99%

Predicting the Outcome of Total Knee Arthroplasty Using the WOMAC Score: A Review of the Literature

2018

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It is estimated that up to a third of recipients of total knee arthroplasty (TKA) experience chronic pain postoperatively. However, there are no clear indications within the literature that predict which patients are at higher risk of being dissatisfied with their TKA. The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) is one of the most commonly used, patient-reported outcome measures in patients with lower limb osteoarthritis. This review discusses the available evidence surrounding the predictability of the outcome of TKA using the WOMAC score as well as considering further patient factors that have been implicated in the level of improvement post TKA. It may be concluded from the available literature that a combination of knee scores and patient factors would be the most accurate way of predicting those patients most likely to have a good outcome from their TKA. There is some disparity within the literature about which patient factors and reported outcome measure scores lead to a positive postoperative outcome. Patient expectations following the procedure also need to be evaluated, as objective measures on a scoring system do not necessarily equate with the subjective patient experience.

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“…4 However, not all preoperative knees are the same, as more severe deformities may require more tissue releases and adjustments than less severely deformed knees. 5 In addition, severely deformed knees are usually a gradual occurrence and are more commonly seen in much older populations for which surgery and aftercare are already more complicated due to a likely increased number of comorbidities. 5 Therefore, to better achieve optimal surgical outcomes in these more complicated patients, major efforts have been made in advancing guidance-based systems, such as the robotic-assisted TKA device.…”

mentioning

confidence: 99%

Difficult Cases in Robotic Arm-Assisted Total Knee Arthroplasty: A Case Series

Marchand¹,

Khlopas

Sodhi

et al. 2017

J Knee Surg

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Sagittal deformity of the knee is commonly corrected to neutral biomechanical axis (±3 degrees) during total knee arthroplasty (TKA), which is a widely accepted goal. Recent advances in surgical technology have made it possible to accurately plan and fulfill these goals. One of these is robotic-assisted TKA, which has been noted to help increase accuracy and precision of restoring a neutral mechanical axis. While there are data confirming the ability of robotic devices to better correct knee alignment than the manual technique, there is a lack of data concerning the use of the robotic devices in more complex cases, such as those in patients with severe varus or valgus deformity, as well as in flexion contractures. Therefore, the purpose of this case study is to present three cases in which the robotic-assisted TKA device was used to correct a severe varus and severe valgus deformities. Based on this case series, it should be noted that the robotic device can also help correct severe varus/valgus deformities and flexion contractures.

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Total Knee Arthroplasty in Severe Valgus Osteoarthritis Excellent Early Results in a 90-Year-Old Patient with a Valgus Deformity of 47°

Cited by 5 publications

References 21 publications

Total Knee Replacement in a Young Patient with Valgus Knee Osteoarthritis: A Case Report

Total Knee Replacement in a Young Patient with Valgus Knee Osteoarthritis: A Case Report

Predicting the Outcome of Total Knee Arthroplasty Using the WOMAC Score: A Review of the Literature

Difficult Cases in Robotic Arm-Assisted Total Knee Arthroplasty: A Case Series

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