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Department of Orthopaedic Surgery

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CASE 3:
Degenerative arthritis of the right knee with severe valgus deformity - which was treated successfully. A bad fall resulted in the dislocation of the replaced knee joint



PROBLEM

A 76 years old lady presented 12 years ago with complaints of severe pain in the right knee with inability to walk due to severe deformity. She was diagnosed to have severe degenerative arthritis of the right knee with severe valgus deformity.

Pre-Operative X-Rays
Pre-Operative X-Rays


TREATMENT

She was treated with cemented total knee replacement of the right knee. The deformity was completely corrected

Post-Operative X-Rays
Post-Operative X-Rays


FOLLOW UP

She was ambulating well without any support and had a good functional range of movements. She was asymptomatic till 2 years ago when she had a bad fall and sustained a dislocation of the replaced knee joint. The knee was reduced and supported in a brace, but she continued to have pain and the knee was unstable.

Dislocatin of a replaced Knee
Dislocation of a replaced knee
Instability
Instability


TREATMENT

She was treated with a revision total knee replacement 4 months ago. During the surgery, it was observed that the plastic insert was badly damaged because of the fall

Revision Total Knee Replacement
Revision Total Knee Replacement


FOLLOW UP

She is now ambulating well without any support and is able to bend the knee to 110 degrees. She is pain- free and is leading an active life as a social worker.

Functional Results
Functional Results



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