Abstract
We recently performed total knee arthroplasty (TKA) in a case of which severe genu varum had developed following supracondylar femoral fracture.
A 74-year-old woman in 1991, and sustained a supracondylar fracture of the right femur was treated conservatively at a bonesetting clinic. As the knee pain had intensified since 1999, she consulted our hospital in October 2001. Preoperatively, the FTA was 210 degrees, the range of motion (ROM) of the knee was from 15 degrees in extension to 110 degrees in flexion, and the JOA score was 40. In July 2003, TKA was performed, without corrective osteotomy. The prosthesis used was an LCS Universal RP® (Depuy). Postoperatively, FTA (177 degrees), knee ROM (from 0 degrees in extension to 120 degrees in flexion) and JOA score (80) was improved. As the LCS prosthesis for TKA is designed to determine the rotational alignment of distal femur on the basis of the plane of tibial osteotomy, it was useful in the present case of femoral condylar deformity.
