Simultaneous tibial osteotomy and total knee arthroplasty in posttraumatic and obese patient: a case report

Authors

  • Biser Bonchev Department of Orthopedics and Traumatology, UMHAT “Sofiamed”, Sofia, Bulgaria
  • Tsvetoslav Yordanov Department of Orthopedics and Traumatology, UMHAT “Sofiamed”, Sofia, Bulgaria
  • Luben Stokov Clinic of Orthopedics and Traumatology, UMHAT “St. Anna”, Sofia, Bulgaria
  • Teodor Ivanov
  • Teodor Teofilov Department of Orthopedics and Traumatology, UMHAT “Sofiamed”, Sofia, Bulgaria
  • Georgi Georgiev Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia, Bulgaria https://orcid.org/0000-0001-8343-0337
  • Luben Lubenov Stokov Clinic of Orthopedics and Traumatology, MHAT “St. Sofia”, Sofia, Bulgaria
  • Kristian Nastev MHAT, Skin Systems, Bulgaria

DOI:

https://doi.org/10.58542/jbota.v61i4.113

Keywords:

total knee replacement, extra articular deformity, osteotomy, varus knee, single stage, simultaneous

Abstract

Deforming osteoarthritis of the knee joint alters the mechanical axis of the lower limb. This, combined with extra articular deformity of the tibia or femur leads to serious dysfunction of the limb and great disability for the patient. These rare cases present great challenge for the orthopedic surgeon. Most of the cases with mild to moderate deformities can be successfully managed by adjusting intra articular resections, but in those with severe extra articular deformity, an extra articular correctional osteotomy may be required in order to achieve good flexion-extension balance of the knee. We report a case of total knee replacement performed together with correctional osteotomy of the tibia due to extra articular deformity of about 20 degree varus.

Author Biography

Georgi Georgiev, Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia, Bulgaria

Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia, Bulgaria

Georgi P. Georgiev, MD, PhD, DSc

Downloads

Published

23.09.2024

How to Cite

Bonchev , B., Yordanov, T., Stokov, L., Ivanov, T., Teofilov, T., Georgiev, G., … Nastev, K. (2024). Simultaneous tibial osteotomy and total knee arthroplasty in posttraumatic and obese patient: a case report. THE JOURNAL OF THE BULGARIAN ORTHOPAEDICS AND TRAUMA ASSOCIATION, 61(4), 159–166. https://doi.org/10.58542/jbota.v61i4.113

Issue

Section

Clinical case report