Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis

We report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 becau...

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Autores principales:	Daisuke Fukuhara, Hiroaki Inoue, Shuji Nakagawa, Yuji Arai, Kenji Takahashi
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/554aff2f08d549cb984e637bbd36631e
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spelling	oai:doaj.org-article:554aff2f08d549cb984e637bbd36631e2021-11-08T02:37:02ZTibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis2090-675710.1155/2021/6443618https://doaj.org/article/554aff2f08d549cb984e637bbd36631e2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6443618https://doaj.org/toc/2090-6757We report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 because her right knee joint pain worsened. The range of motion for her right knee was 80° and -5° of flexion and extension, respectively, and she experienced medial weight-bearing pain. A plain X-ray image showed that the right knee joint had end-stage knee OA with a bone defect inside the tibia, and the tibial plateau shape was the pagoda type. There was a marked instability in her right knee with a valgus of 9° and varus of 7° on stress photography. She underwent TCVO on her right knee and was allowed full load four weeks after surgery. Computed tomography imaging showed bone union nine months after surgery. Two years after the operation, there was no correction loss, and she could walk independently without pain. In general, total knee arthroplasty (TKA) is indicated for end-stage knee OA; however, there are problems, such as early loosening due to the increased mechanical load on the knee after hip OA. In this case, since a good course was obtained, TCVO is considered a treatment option for terminal knee OA after hip arthrodesis.Daisuke FukuharaHiroaki InoueShuji NakagawaYuji AraiKenji TakahashiHindawi LimitedarticleOrthopedic surgeryRD701-811ENCase Reports in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
description	We report a case of tibial condylar valgus osteotomy (TCVO) for ipsilateral knee osteoarthritis (OA) after hip arthrodesis. A 58-year-old woman developed right purulent hip arthritis at one month of age and underwent right hip fusion at 16 years old. She visited our department at the age of 57 because her right knee joint pain worsened. The range of motion for her right knee was 80° and -5° of flexion and extension, respectively, and she experienced medial weight-bearing pain. A plain X-ray image showed that the right knee joint had end-stage knee OA with a bone defect inside the tibia, and the tibial plateau shape was the pagoda type. There was a marked instability in her right knee with a valgus of 9° and varus of 7° on stress photography. She underwent TCVO on her right knee and was allowed full load four weeks after surgery. Computed tomography imaging showed bone union nine months after surgery. Two years after the operation, there was no correction loss, and she could walk independently without pain. In general, total knee arthroplasty (TKA) is indicated for end-stage knee OA; however, there are problems, such as early loosening due to the increased mechanical load on the knee after hip OA. In this case, since a good course was obtained, TCVO is considered a treatment option for terminal knee OA after hip arthrodesis.
format	article
author	Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi
author_facet	Daisuke Fukuhara Hiroaki Inoue Shuji Nakagawa Yuji Arai Kenji Takahashi
author_sort	Daisuke Fukuhara
title	Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
title_short	Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
title_full	Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
title_fullStr	Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
title_full_unstemmed	Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis
title_sort	tibial condyle valgus osteotomy for ipsilateral knee osteoarthritis after hip arthrodesis
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/554aff2f08d549cb984e637bbd36631e
work_keys_str_mv	AT daisukefukuhara tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT hiroakiinoue tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT shujinakagawa tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT yujiarai tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis AT kenjitakahashi tibialcondylevalgusosteotomyforipsilateralkneeosteoarthritisafterhiparthrodesis
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Tibial Condyle Valgus Osteotomy for Ipsilateral Knee Osteoarthritis after Hip Arthrodesis

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