c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Total Knee Replacement: 1

A D V E R T I S E M E N T

   
 

A 76-year-old woman presented with bilateral knee pain, left worse than right. Pre-operative radiographs of the left knee show severe, end-stage osteoarthritis. The radiographic hallmarks of osteoarthritis are: joint space narrowing, sclerosis of the subchondral bone, osteophyte formation and eventually cystic changes in the adjacent bone.      

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Total Knee Replacement: 2

A D V E R T I S E M E N T

   
 

Standing "alignment views" are used to determine the patient's weight bearing and mechanical axis. The technical goals of Total Knee Arthroplasty include re-establishing the patients mechanical axis and restoring the joint line. Often times, patients will have developed severe "varus" deformity (bowed legs) or less commonly, "valgus deformity (knock kneed).      

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Total Knee Replacement: 3

A D V E R T I S E M E N T

   
 

After a sterile prep, the limb is draped, landmarks are identified and the mid-line knee incision is planned unless patients have old scars which are not compatible with this standard incision.       

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This page was last modified on 6/6/2001.