Ipsilateral Concurrent Knee Arthroplasty and Tibial Osteotomy With 3D-Printed Patient-Specific Instrumentation: A Case Report Publisher Pubmed



Vaziri AS¹ ; Karimpour M² ; Tahmasebi MN¹ ; Hosseini SR¹ ; Moradkhani G² ; Javidmehr S¹ ; Vosoughi F³
Source: JBJS Case Connector Published:2023

Abstract

Case:A 70-year-old woman presented with knee pain and instability and was diagnosed with advanced knee osteoarthritis and bifocal tibial deformities. The complexity of the case challenged our team to perform a significant sagittal correction (>60°) and restore her ability to walk independently. We performed ipsilateral total knee arthroplasty and anterior closed wedge tibial osteotomy using virtual planning and 3D-printed patient-specific instrumentation.Conclusion:Using 2 separate 3D-printed patient-specific cutting guides for this patient with a complex deformity and managing the whole planning process in close collaboration between the surgeons and engineers resulted in a satisfactory postoperative outcome, optimal implant positioning and leg alignment, and minimal soft-tissue damage. © 2023 Lippincott Williams and Wilkins. All rights reserved.