Issue |
SICOT-J
Volume 6, 2020
|
|
---|---|---|
Article Number | 19 | |
Number of page(s) | 4 | |
Section | Knee | |
DOI | https://doi.org/10.1051/sicotj/2020016 | |
Published online | 17 June 2020 |
Case Report
Two cases of deliberate implant mismatch in knee arthroplasty
1
Service de Chirurgie Orthopédique, Hôpital de la Pitié-Salpétrière, Sorbonne Université, 47, Bd de l’Hôpital, 75013 Paris, France
2
Department of Orthopaedic Surgery, Cork University Hospital, Wilton, T12 DFK4 Cork, Ireland
3
Service de Chirurgie Orthopédique, Clinique Mermoz-Paul Santy, 24 Avenue Paul Santy, 69008 Lyon, France
* Corresponding author: l.mariehardy@gmail.com
Received:
21
December
2019
Accepted:
27
May
2020
Cases: Knee arthroplasty is increasingly common with good clinical results. However, there is a cohort of patients whose native knee anatomy may not marry well with standard implants. The current authors describe two cases (one unicompartmental knee arthroplasty (UKA), one total knee arthroplasty (TKA)), during which deliberately implanting an implant designed for the contra-lateral distal femur (TKA) or contralateral femoral condyle (UKA) respectively, led to a better fit than correct-sided implants. Conclusion: The authors share their experience to raise awareness of a potential solution to such an intra-operative challenge and suggest that implant customisation may ultimately address challenges with grossly abnormal native anatomy.
Key words: Total knee arthroplasty / Unicondylar knee arthroplasty / Mismatch
© The Authors, published by EDP Sciences, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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