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Volume 23, Issue 8, Pages 1239.e13-1239.e17 (December 2008)


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Navigation-Assisted Total Knee Arthroplasty for a Knee With Malunion of the Distal Femur

Wen-Yi Chou, MD, Jih-Yang Ko, MDCorresponding Author Information, Ching-Jen Wang, MD, Feng-Sheng Wang, PhD, Re-Wen Wu, MD, To Wong, MD

Received 29 June 2007; accepted 2 November 2007. published online 14 April 2008.

Abstract 

Conventional total knee arthroplasty (TKA) has been developed for several decades. However, very few previous reports describe TKA with less invasive modality for extra-articular angular deformity. Herein, we report a case of navigation-assisted TKA for severe osteoarthritis associated with malunited distal femoral fracture. Fourteen months after navigation TKA surgery, satisfactory alignment, diminished length discrepancy, and improved range of motion were noted. Our report reveals that navigation system without intramedullary reaming is a feasible and less invasive alternative for TKA surgery for complex arthritic knee disorders.

 Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Kaohsiung, Medical Center, Graduate Institute of Clinical Medical Science, Chang Gung University College of Medicine, Kaohsiung, Taiwan

 Department of Medical Research, Chang Gung Memorial Hospital-Kaohsiung, Medical Center, Graduate Institute of Clinical Medical Science, Chang Gung University College of Medicine, Kaohsiung, Taiwan

Corresponding Author InformationReprint requests: Jih-Yang, Ko, MD, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Kaohsiung at Kaohsiung, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung, Taiwan.

 No benefits or funds were received in support of this study.

PII: S0883-5403(07)00640-7

doi:10.1016/j.arth.2007.11.001


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