Dr. Ameya Velingker
MS, Mch (Ortho), FICS (USA)
Consultant Joint Replacement, Bone and Joint Care Clinic, Goa
boneandjointcare@gmail.comCase Vignette:
56 years old male, resident of Belgavi, Obese with progressive osteoarthritis, of both knees since 6 years. Since last 3 months no weight bearing. On examination we observed, Gross Ligament Laxity Global Instability.
Things considered / looked up in the X-Ray Fig. 1
1. Integrity of the Collateral Ligaments
2. ACL PCL Insufficiency
3. Increased coronal slope of the tibia and to attend / rectify the posterior defect.
Fig.1. Pre-Op X-Ray of Progressive Osteoarthritis
Discussions:
The plan & discussion for the above case was,
1. Checking the collateral ligament integrity intra-op
2. Gross undercutting of the proximal tibia & distal femur
3. Extension rod for tibia
4. Standby constrained knee
The plan & discussion for the above case was,
1. Good Integrity of Collateral Ligaments
2. Absence of ACL , PCL
3. Observed Advanced degeneration of knee
