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• W2938353142 abstract "Establecer cuales deformidades angulares en el fémur deben ser tratadas con resección ósea intraarticular inusual más artroplastia total de rodilla en artrosis tricompartimental de rodilla es uno de los retos mayores que se enfrenta en cirugía ortopédica. Presentamos el caso de un paciente masculino de 67 años de edad, con antecedente de fractura diafisaria de fémur hace 30 años tratada en forma conservadora con dolor en la rodilla izquierda de 2 años de evolución con un diagnóstico de artrosis tricompartimental de la rodilla asociada a genu valgum de 20° y consolidación viciosa en diáfisis femoral izquierda con valgo femoral de 10°. El tratamiento quirúrgico realizado fue utilizando cortes intraarticulares inusuales y artroplastia total de rodilla. De acuerdo a la escala propuesta por la Knee Society Score el paciente obtuvo 89 al año de la cirugía. Ante deformidades femorales de hasta 20°, suele ser suficiente realizar la corrección con los cortes óseos intraarticulares (inusuales) evitando afectar las inserciones ligamentarias femorales. Nivel de Evidencia IV To establish the angular deformities in the femur that should be treated with unusual intra-articular bone resection plus total knee arthroplasty in tricompartmental arthrosis of the knee is one of the major challenges faced in orthopaedic surgery. The case is presented of a 67 year-old male patient with a history of diaphyseal fracture of the left femur (30 years ago) treated conservatively with malunion in left femoral diaphysis with 10° femoral valgus and left knee pain of 2 years onset. He was diagnosed with tricompartmental osteoarthritis of the knee associated with genu valgum of 20°. Surgical treatment was performed using intra articular «unusual» bone cuts and total knee arthroplasty. According to the scale proposed by the Knee Society Score, the patient obtained a score of 89 one year after surgery. In femoral deformities of up to 20°, it is usually sufficient to perform the correction with intra articular «unusual» bone cuts, and avoiding affecting the femoral ligament insertions. Evidence Level IV" @default.
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• W2938353142 date "2019-05-01" @default.
• W2938353142 modified "2023-09-26" @default.
• W2938353142 title "Artroplastia total de rodilla con defecto angular extraarticular. Reporte de caso" @default.
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• W2938353142 doi "https://doi.org/10.1016/j.rccot.2019.03.003" @default.
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