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Updated: Apr 12, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Shortening femoral osteotomy with stemmed resurfacing total knee arthroplasty for severe flexion contracture in
Brock Kitchen1, Hugo B Sanchez2, Russell A Wagner2
1University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, TX 76107, United States.
Abstract:
Juvenile Rheumatoid Arthritis (JRA) is a progressive disease characterized by pain, swelling, and loss of motion in the joints of adolescents. Total knee arthroplasty (TKA) can be indicated, during the adolescent years, in patients with advanced JRA to alleviate pain and improve function. Because of the relative infrequency of TKA in patients with JRA, evaluation of the type of TKA performed and the results merit review. This case report present two distinct operations performed to obtain full extension. 1. Distal femoral resection with conversion to hinged arthroplasty. 2. Femoral shortening osteotomy with resurfacing TKA.

