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Long Term Clinical Outcome of Total Knee Arthroplasty. The Effect of the Severity of Deformity

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Total Knee Arthroplasty

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Abstract

Total knee arthroplasty (TKA) is the gold standard for treatment of knee osteoarthritis demonstrating excellent long term results in terms of functional outcome and revision rates [1–3]. Joint deformity is due to a combination of factors such as extra or intra articular deformity, bone destruction and defects, soft tissue contractures and ligamentous imbalance. When bone deformity is located in the femoral and/or tibial metaphysis it can usually be addressed in a one stage TKA procedure (Fig. 8.1), while diaphyseal deformities are often reconstructed with staged procedures (Fig. 8.2). Soft tissue imbalance combined with severe deformity renders TKA a rather challenging procedure, demanding clear knowledge of the structures which stabilize the knee joint and surgical experience in reconstructing difficult cases. Proper joint alignment and ligament balance enhance implant longevity and are associated with rewarding functional outcomes [4, 5].

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, University Hospital of Patras, Rion, GR-26504, Greece

    Panagiotis Megas MD, DSc, Anna Konstantopoulou MD & Antonios Kouzelis MD, DSc

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  1. Panagiotis Megas MD, DSc
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  2. Anna Konstantopoulou MD
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  3. Antonios Kouzelis MD, DSc
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Correspondence to Panagiotis Megas MD, DSc .

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Editors and Affiliations

  1. Orthopaedic Department, University of Thessalia, Larissa, Greece

    Theofilos Karachalios

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Megas, P., Konstantopoulou, A., Kouzelis, A. (2015). Long Term Clinical Outcome of Total Knee Arthroplasty. The Effect of the Severity of Deformity. In: Karachalios, T. (eds) Total Knee Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-6660-3_8

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  • DOI: https://doi.org/10.1007/978-1-4471-6660-3_8

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