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Total Knee Arthroplasty with Simultaneous Tibial Shaft Osteotomy in Patient with Multiple Hereditary Osteochondromas and Multiaxial Limb Deformity – a Case Report by Grzelecki, Dariusz; Szneider, Jan; Marczak, Dariusz; Kowalczewski, Jacek is a Medicine article available to read on EtoBox.

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## Background Hereditary multiple osteochondromas (hereditary multiple exostoses, HME) is a rare genetic disease characterized by the development of benign osteocartilaginous tumors that may cause severe limb deformities and early onset osteoarthritis. Total knee arthroplasty (TKA) is the method of choice for the treatment of advanced gonarthrosis, however the surgical management with coexisting severe axial limb deformity remains unclear. ## Case presentation 65-year-old man with HME and extra-articular multi-axial limb deformity was admitted to the orthopedic department due to chronic knee pain and limited range of motion caused by secondary osteoarthritis. Regarding to the clinical and radiological examinations, after preoperative planning he was qualified to a one-stage TKA combined with tibial shaft osteotomy (TSO). In a one year follow-up full bone union was confirmed with no signs of implant loosening or prosthesis displacement. Patient was very satisfied, did not report any joint pain and has sufficient range of motion without knee instability. ## Conclusion The improvement of mechanical axis during TKA is a crucial factor for achieve operative success and long implant surv

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Author

Grzelecki, Dariusz; Szneider, Jan; Marczak, Dariusz; Kowalczewski, Jacek

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2000-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2474)

Published

2020

Language

EN

Field

Medicine (Health Sciences)