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Related Experiment Video

Updated: May 29, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Total knee replacement following intra-articular malunion.

S Parratte1, P Boyer, P Piriou

  • 1Arthritis Surgery Center, Sainte-Marguerite hospital, University Hospital Center South, 270, boulevard Sainte-Marguerite, 13009 Marseille, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|September 28, 2011
PubMed
Summary

Total knee replacement (TKR) for knee osteoarthritis with intra-articular malunion shows improved scores but carries a high complication risk. Patients face potential stiffness and limited flexion, requiring informed consent regarding outcomes.

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Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Limited data exists on managing knee osteoarthritis (OA) secondary to intra-articular malunion.
  • Intra-articular malunion presents unique challenges for total knee replacement (TKR).

Purpose of the Study:

  • To analyze TKR outcomes for knee OA with intra-articular malunion.
  • To report complications and technical aspects of TKR in this specific patient group.

Main Methods:

  • Retrospective multicenter study of 74 patients undergoing TKR for post-traumatic knee OA with intra-articular malunion.
  • Mean follow-up of 4 years, assessed using the Knee Society score (modified).

Main Results:

  • Significant improvement in knee and functional scores (P<0.001 and P=0.004, respectively).

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Last Updated: May 29, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
07:45

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Published on: August 4, 2022

  • Mean flexion gain of 6°, with postoperative flexion averaging 110°.
  • High complication rate (26%), including severe issues like extensor avulsions, infections, and stiffness.
  • Conclusions:

    • TKR for knee OA with intra-articular malunion is associated with elevated complication rates and poorer functional results compared to OA from constitutional deformity.
    • Pre-existing trauma and fibrosis can lead to stiffness and surgical challenges.
    • Patients must be informed about the potential for limited postoperative flexion, especially if initial stiffness is present.