10) LECTURE - 10 Managing Severe Varus Deformity in Primary TKA скачать в хорошем качестве

10) LECTURE - 10 Managing Severe Varus Deformity in Primary TKA

In this lecture the discussion is about managing severe varus deformity in primary total knee arthroplasty (TKA) necessitates a meticulous approach across several critical domains. Preoperatively, thorough assessment of the knee's alignment, deformity severity, joint stability, bone quality, and soft tissue condition is essential for formulating a comprehensive surgical plan. Radiographic evaluation, including long-leg alignment views, provides crucial insights into the degree of varus deformity and guides the planning of corrective measures. Surgical planning must be tailored to the specific challenges posed by severe varus deformity, often utilizing advanced imaging or 3D planning to anticipate intraoperative complexities. During surgery, meticulous execution of bone cuts is crucial to correct varus alignment while preserving adequate bone stock for reliable implant fixation. The selection of appropriate implants is paramount, often requiring consideration of constrained options or augmented surfaces that can accommodate the severity of the deformity. Soft tissue management plays a pivotal role, involving the release of contracted tissues and meticulous balancing of ligaments to restore optimal knee stability and function. Intraoperative flexibility is key, allowing for adjustments based on real-time assessments and ensuring optimal component positioning to restore alignment and joint mechanics. Techniques such as augments or bone grafts may be employed to address bone defects or enhance stability, while secure fixation methods, such as long-stemmed components, are utilized in compromised bone conditions. Postoperatively, rehabilitation protocols are tailored to promote early mobilization while safeguarding the achieved correction. Vigilance in monitoring for potential complications, including instability, component loosening, or wound issues, is critical, with prompt intervention if necessary. Long-term follow-up is essential to evaluate functional outcomes, implant survivorship, and patient satisfaction, underscoring the multidisciplinary nature of care involving collaboration with physiotherapists, pain management specialists, and other healthcare providers. Managing severe varus deformity in primary TKA demands a holistic approach that prioritizes precision, adaptability, and patient-specific considerations throughout the treatment continuum.