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Knee replacement in chronic post-traumatic cases

Francesco Benazzo

Francesco Benazzo Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Stefano M.P. Rossi

Stefano M.P. Rossi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Alberto Combi

Alberto Combi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Sanjay Meena

Sanjay Meena SICOT Fellow at Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Matteo Ghiara

Matteo Ghiara Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.
Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach, axis, bone loss, choice of implant and level of constraint are indispensable.
There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.
Use of an algorithms can support the surgeon’s choice of implant.
Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty.

Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement in chronic post-traumatic cases. EFORT Open Rev 2016:1:211-218. DOI: 10.1302/2058-5241.1.000025.