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Total knee replacement in a transtibial amputee.

Ahmed Elsayed1, Douglas Allan2, Peter Samuel Edward Davies2

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This case report details total knee replacement (TKR) for osteoarthritis in a patient with a transtibial amputation (TTA). It highlights unique challenges and successful surgical strategies for this rare clinical scenario.

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Orthopaedic and trauma surgeryOrthopaedics

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  • Osteoarthritis (OA) development in the knee ipsilateral to a transtibial amputation (TTA) is uncommon.
  • Potential causes include preferential loading of the contralateral limb or prosthetic adjustments that alter knee biomechanics.
  • Limited literature exists to guide surgical planning for total knee replacement (TKR) in TTA patients.