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    Insights on Challenging Total Knee Arthroplasty Cases

    The orthopaedic surgeons who participate in ICJR meetings as faculty typically come from busy practices and have a great deal of experience in managing complex total joint arthroplasty cases.

    At the recent 6th Annual ICJR South Hip & Knee Course, moderator Daniel L. Berry, MD, challenged a panel of these experts to view the radiographs of 7 difficult primary total knee arthroplasty cases he had encountered, listen to the history and physical findings, and then share their thoughts on how they would manage the patients. The panel included Walter B. Beaver Jr., MD; Henry D. Clarke, MD; Raymond H. Kim, MD; William A. Jiranek, MD, FACS; and Paul K. Edwards, MD.

    RELATED: Register for the 7th Annual ICJR South Hip & Knee Course

    Here are the cases they discussed:

    Case 1

    • 59-year-old male patient
    • Right knee pain and instability
    • Varus deformity
    • Medial tibial bone loss and osteophytes

    Case 2

    • 68-year-old female patient
    • Left knee and left hip pain
    • Valgus deformity
    • History of cup arthroplasty

    Case 3

    • 80-year-old female patient
    • Right knee pain
    • Large valgus deformity
    • Tibial stress fracture

    Case 4

    • 58-year-old male patient
    • Right knee pain
    • Multiple prior lower extremity injuries

    Case 5

    • 78-year-old male patient
    • Left knee pain
    • History of rheumatoid arthritis

    Case 6

    • 36-year-old female patient
    • Severe diabetes mellitus
    • History of non-operative management of a tibial fracture
    • Medial tibial bone loss and instability

    Case 7

    • 60-year-old male patient
    • Left knee pain
    • Valgus deformity
    • History of open femur fracture

    Click the image above to hear what the panel members had to say about managing these patients.

    Disclosures

    The panel members have no disclosures relevant to this presentation.