Arthroscopically-assisted knee joint arthrodesis by custom-made intramedullary locking nail with simultaneous femur deformity correction (case report)

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Abstract

Post-traumatic intra- and extra-articular deformities of the bones forming the knee joint, multiple previous surgeries, fibrous ankylosis of the knee joint is unfavorable background for performing total knee joint arthroplasty. In case of refusal to perform knee arthroplasty, the «gold standard» is knee arthrodesis. Standard techniques used in performing this operation are traumatic and associated with a high volume of intraoperative blood loss. Using such a surgical option as arthroscopically-assisted arthrodesis can reduce the level of surgical invasive- ness and minimize blood loss, while allowing you to perform this operation no less effectively than using traditional approaches. As a clinical example, we have presented arthroscopically-assisted arthrodesis of the knee joint in a patient with posttraumatic deformity of the femur and fibrous ankylosis of the knee joint with a good medium-term functional result.

About the authors

K. L. Korchagin

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: korchagin.konstantin@gmail.com
Russian Federation, Saint-Petersburg

D. V. Chugaev

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: korchagin.konstantin@gmail.com
Russian Federation, Saint-Petersburg

L. N. Solomin

Vreden Russian Research Institute of Traumatology and Orthopedics; Saint-Petersburg State University

Email: korchagin.konstantin@gmail.com
Russian Federation, Saint-Petersburg

E. P. Sorokin

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: korchagin.konstantin@gmail.com
Russian Federation, Saint-Petersburg

S. A. Lasunskiy

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: korchagin.konstantin@gmail.com
Russian Federation, Saint-Petersburg

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Supplementary files

Supplementary Files
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2. Fig. 1. Long leg films of both lower extremities of the patient before the surgery.

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3. Fig. 2. Arthroscopic picture of the stage of removal of the loaded articular surfaces of the femur and tibia.

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4. Fig. 3. Extracortical clamp device: appearance (а); extracortical clamp device is inserted (б).

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5. Fig. 4. Insertion of flexible guide and reamers into the medullary canal.

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6. Fig. 5. AP and lateral long-leg films of the patient after the surgery.

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7. Fig. 6. Appearance of the operated limb in 7 days after the surgery.

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8. Fig. 7. Function of the operated limb and appearance of the patient in 12 months after the surgery.

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9. Fig. 8. AP and lateral view x-rays of the patient in 12 months after the surgery.

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10. Fig. 9. CT scans of the knee joint of the patient in 6 months after the surgery.

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