Abstract

DEL SEL, Hernán; VIALE, Germán; DEL SEL, Guillermo  and  VILASECA, Tomás. Reemplazo total de rodilla luego de una osteotomía supracondílea femoral. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2009, vol.74, n.3, pp.214-219. ISSN 1852-7434.

Background: Total knee replacement following varus supracondylar femoral osteotomy is less frequently performed than after valgus tibial osteotomy. It may be indicated for persistent pain, recurrence of deformity and / or progression of degenerative arthritis with deterioration of the clinical result. Special precautions need to be applied regarding previous incisions, existing hardware and acquired deformity of the lower femur. Intramedullary femoral guides are often difficult to insert and the femoral component may require the addition of a stem. Methods: We report on 11 total knee replacements performed after supracondylar femoral osteotomy. Results are satisfactory when technical difficulties are properly dealt with. Results: the results are satisfactory and similar to a primary total knee replacement and The incidence of complicatios is less than after tibial osteotomy. Conclusions: Total knee replacement after femoral osteotomy is infrequent and technical difficulties that might appear due to extra-articular deformity should be known.

Keywords : Total knee replacement; Femoral osteotomy.

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