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Fleming MA, Dixon MC. Total knee replacement for tricompartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy. Arthroplast Today. 2016;2(2):53-56doi: 10.1016/j.artd.2015.08.002.
Fleming, M. A., & Dixon, M. C. (2016). Total knee replacement for tricompartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy. Arthroplasty today, 2(2), 53-56. https://doi.org/10.1016/j.artd.2015.08.002
Fleming, Mark A, and Dixon, Michael C. "Total knee replacement for tricompartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy." Arthroplasty today vol. 2,2 (2016): 53-56. doi: https://doi.org/10.1016/j.artd.2015.08.002
Fleming MA, Dixon MC. Total knee replacement for tricompartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy. Arthroplast Today. 2016 Feb 11;2(2):53-56. doi: 10.1016/j.artd.2015.08.002. eCollection 2016 Jun. PMID: 28326399; PMCID: PMC4957155.
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Arthroplast Today. 2016 Feb 11;2(2):53-56. doi: 10.1016/j.artd.2015.08.002. eCollection 2016 Jun.

Total knee replacement for tricompartmental arthritis in a patient with a below-knee amputation after a previous closing wedge high tibial osteotomy.

Arthroplasty today

Mark A Fleming, Michael C Dixon

Affiliations

  1. Sutherland Public Hospital, Caringbah, New South Wales, Australia.
  2. Sutherland Public Hospital, Caringbah, New South Wales, Australia; Kareena Private Hospital, Caringbah, New South Wales, Australia.

PMID: 28326399 PMCID: PMC4957155 DOI: 10.1016/j.artd.2015.08.002

Abstract

This is a report of a 64-year-old man who had undergone a high tibial osteotomy (HTO) 17 years ago of his right knee for medial compartment osteoarthritis; 5 days later, he received a below-knee amputation owing to a missed popliteal artery injury at the time of the HTO. We elected to perform a total knee replacement (TKR) for progressive arthritis of the ipsilateral knee 17 years after the transtibial amputation. Although there is a plethora of literature regarding TKR in the contralateral knee of amputees, there is a paucity of data of TKR in the ipsilateral knee. Using medical search engines including Google Scholar and PubMed, we were only able to identify 4 case reports of TKR in the ipsilateral knee of below-knee amputees. This is the first description in the English literature that has the following rare pathology list: tricompartmental arthritis with a previous closing wedge HTO with a resultant truncated valgus tibia and short transtibial amputation.

Keywords: Below-knee amputation; Patient-specific instrumentation; Total knee arthroplasty; Total knee replacement; Transtibial amputation

References

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