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Medial-Pivot Total Knee Arthroplasty for Tricompartmental Osteoarthritis

ArthroplastyOpenIntermediate

Presented by Dr. Mahendra S Kudchadkar · MS, DNB, MRCSEd, FICS

Medial-Pivot Total Knee Arthroplasty for Tricompartmental Osteoarthritis

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A 70-year-old woman with tricompartmental osteoarthritis of the left knee demonstrated medial and lateral compartmental wear, osteophytes, mild varus deformity and a preoperative range of motion of approximately 0°–130°. The contralateral knee had previously undergone arthroplasty. A medial-pivot total knee arthroplasty was undertaken on the left side.

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Medial-pivot TKA can provide bone-conserving femoral preparation, stable flexion–extension mechanics and favourable patellar tracking when soft-tissue release, implant rotation, polyethylene thickness and component insertion sequence are carefully controlled.

Key takeaway

Medial-pivot TKA can provide bone-conserving femoral preparation, stable flexion–extension mechanics and favourable patellar tracking when soft-tissue release, implant rotation, polyethylene thickness and component insertion sequence are carefully controlled.