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Management of Extra-articular Deformity

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Complex Cases in Total Knee Arthroplasty

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Abstract

Total knee arthroplasty (TKA) in the presence of severe extra-articular deformity remains a challenging situation. Such deformities mainly occurring secondary to femoral or tibial fracture malunion, failed osteotomy, prior physeal injury, congenital deformity, metabolic bone disease, and skeletal dysplasia. In these situations, the standard principles of TKA still apply, including restoration of the mechanical alignment and soft tissue balance. The challenge relates to the implications of the distal femoral and proximal tibial bone resection in both the coronal and sagittal planes. The extra-articular deformity must in some way be corrected by the bone resection. There are several options for correction of the deformity; one is arthroplasty with intra-articular correction, or combined with an extra-articular corrective osteotomy, either as a staged or simultaneous procedure.

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Author information

Authors and Affiliations

  1. Northwell Health Orthopedic Institute, New York, NY, USA

    Giles R. Scuderi MD

  2. Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, New York, NY, USA

    Steven B. Haas MD & Jonathan L. Berliner MD

  3. Limb Lengthening and Complex Reconstruction Service, Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medicine, Cornell University, New York, NY, USA

    Michael J. Assayag MD, FRCSC & S. Robert Rozbruch MD

  4. Department of Orthopaedics, Cleveland Clinic, Cleveland, OH, USA

    Anton Khlopas MD & Michael A. Mont MD

  5. Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD, USA

    Grayson P. Connors DO, Chukwuweike U. Gwam MD, Jaydev B. Mistry MD & Ronald E. Delanois MD

  6. Department of Orthopedics, Rutgers – Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Bertrand W. Parcells MD

  7. Department of Orthopaedic Surgery, Saint Peter’s University Hospital, New Brunswick, NJ, USA

    Dexter K. Bateman MD

  8. Department of Orthopedics, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Jared S. Preston MD, MBA

  9. Orthopedic Center of New Jersey, Somerset, NJ, USA

    Alfred J. Tria MD

Authors
  1. Giles R. Scuderi MD
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  2. Steven B. Haas MD
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  3. Jonathan L. Berliner MD
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  4. Michael J. Assayag MD, FRCSC
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  5. S. Robert Rozbruch MD
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  6. Anton Khlopas MD
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  7. Grayson P. Connors DO
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  8. Chukwuweike U. Gwam MD
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  9. Jaydev B. Mistry MD
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  10. Ronald E. Delanois MD
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  11. Michael A. Mont MD
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  12. Bertrand W. Parcells MD
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  13. Dexter K. Bateman MD
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  14. Jared S. Preston MD, MBA
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  15. Alfred J. Tria MD
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Corresponding authors

Correspondence to S. Robert Rozbruch MD or Michael A. Mont MD .

Editor information

Editors and Affiliations

  1. Orthopedic Center of New Jersey, Somerset, New Jersey, USA

    Alfred J. Tria

  2. Northwell Health Orthopedic Institute, New York, New York, USA

    Giles R. Scuderi

  3. Orthopedic Center of New Jersey, Somerset, New Jersey, USA

    Fred D. Cushner

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Scuderi, G.R. et al. (2018). Management of Extra-articular Deformity. In: Tria, A., Scuderi, G., Cushner, F. (eds) Complex Cases in Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-69380-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-69380-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-69379-8

  • Online ISBN: 978-3-319-69380-4

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