A simple technique to perform total knee replacement without violating the femoral canal: early clinical results on a cohort of 303 patients.

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Gianluca Castellarin, Vincenzo Cimino

Abstract

It is becoming increasingly common to find patients candidate for total knee replacement with inaccessible femoral canal due to long femoral hip stems, osteo-synthetic hardware or diaphyseal mal-unions. To treat those patients avoiding complex and expensive procedures, we developed an innovative surgical technique based on a novel device called extra-medullary alignment system. We initially employed this technique in 18 cases with inaccessible femoral canal. Early results were so encouraging that we adopted this technique also for our standard cases. We report here our findings with a first series of 303 consecutive patients performed employing this technique. All patients received a cemented cruciate-retaining mobile-bearing total knee. Patients were followed for a minimum of 2 years and evaluated employing the Knee Society Score and the Oxford questionnaire. We also recorded the surgical time and any complication occurred intra-operatively and postoperatively. Patients' X-rays were as well evaluated. No patient was lost to follow-up. Patients group average Knee Society and Oxford scores improved, respectively, from 45 and 16 pre-op to 92 and 45 at 2-year follow-up. Those results were compared and found aligned to those report...Continue Reading

References

May 21, 2005·The Journal of Arthroplasty·Paolo AgliettiLapo De Luca
Oct 22, 2005·Clinical Orthopaedics and Related Research·Richard S Laskin
Nov 29, 2005·The Journal of Arthroplasty·Hsuan-Ti HuangGwo-Jaw Wang
Oct 9, 2007·The Journal of Arthroplasty·Sang Eun Park, Chun Taek Lee
Aug 21, 2008·Clinical Orthopaedics and Related Research·Andrea Baldini, Paolo Adravanti
Sep 26, 2008·Clinical Orthopaedics and Related Research·Peter M BonuttiMichael A Mont
Nov 9, 2012·The Journal of Bone and Joint Surgery. British Volume·R L BarrackR M Nunley
Oct 13, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·F M KovarG Oberleitner
May 29, 2018·The Journal of Arthroplasty·Yale A FillinghamCraig J Della Valle

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Citations

Aug 14, 2021·Archives of Orthopaedic and Trauma Surgery·Stefano Marco Paolo RossiFrancesco Benazzo

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