Primary Complex Total Knee Replacement

73 years old gentleman with advanced osteoarthritis knee came to us with complaints of pain and swelling since 6 months. He is unable to walk or stand. On Clinical examination he had severe varus deformity left knee and restricted range of motion was noticed. Preoperative X-Ray showed arthritic of knee joint with varus deformity and large medial tibial defect. These complex deformities need meticulous surgical planning in terms of bone cuts, defects management and ligaments balancing with revision constrained knee prosthesis.

The patient underwent total knee replacement surgery with constrained prosthesis and bone defect augmentation with wedge.

Post-operative X-Ray shows well balanced knee with constrained prosthesis (LCCK) with stemmed components and medial wedge (tibial side) to augment the defect. Now patient is comfortable and walking with support.

Primary Complex Total Knee Replacement

Primary Complex Total Knee Replacement ( Valgus Knee )

54 years old lady a case of rheumatoid arthritis came with pain and severe valgus deformities of both knees. She also had involvement of small joints of hand and feet.

Preoperative X-Rays showed bilateral valgus deformities with severe osteoporosis. These cases require meticulous preoperative planning for correct femoral and tibial component placement.

After appropriate ligament balance this case was managed with semiconstrained primary knee prosthesis with stem extension on tibial side to prevent implant subsidence because of osteoporosis.

Post op X-Rays show well aligned bilateral semiconstrained knee prosthesis with tibial stem extension. Patient is walking comfortably with walker.

Primary Complex Total Knee Replacement ( Valgus Knee )