Malalignment is associated with an increased rate of loosening of knee prostheses. We present a case of primary knee replacement failure due to pre-existing tibial deformity. Correction of the deformity and associated malalignment was undertaken using the Ilizarov osteotomy method prior to full knee revision surgery.

BACKGROUND Total knee replacement is an effective treatment for knee arthritis. While the majority of TKAs have demonstrated promising long-term results, up to 20 % of patients remain dissatisfied with the outcome of surgery at 1 year. Implant malalignment has been implicated as a contributing factor to less successful outcomes. Recent evidence has challenged the relationship between alignment ...

BACKGROUND Carpal malalignment following the malunited distal radial fracture is described to develop as an adaptation to realign the hand to the malunion. It worsens gradually after healing of the fracture due to continued loading of the wrist. It is also reported to develop during the immobilization itself rather than after fracture healing. The present work was aimed to study the natural cou...

INTRODUCTION Meniscectomies result in altered knee biomechanics and increase contact forces on the operated knee joint. METHODS We assessed coronal knee alignment in relation to radiological osteoarthritis grading, clinical range of movement and patient reported outcome measures 40 years after total open meniscectomies in adolescence. Thirty eight knees (30 patients) that underwent total open...

The incidence of fabella fractures is considered to be extremely low. This report presents two patients with femorotibial osteoarthritis and considerable preoperative valgus malalignment, who developed a fracture of the fabella (as demonstrated by radiography) after total knee arthroplasty with intraoperative correction of the valgus malalignment. Special attention should be paid to the fabella...

OBJECTIVES Malalignment of the tibial component could influence the long-term survival of a total knee arthroplasty (TKA). The object of this study was to investigate the biomechanical effect of varus and valgus malalignment on the tibial component under stance-phase gait cycle loading conditions. METHODS Validated finite element models for varus and valgus malalignment by 3° and 5° were deve...

Optimal initial care can reduce the occurrence of pelvic ring malreductions; however, nonunions and malunions may still occur.1-4 Tile5 estimated a 5% incidence of residual severe deformity in major disruptions of the pelvic ring. However, nonoperative management of vertically unstable pelvic ring injuries can lead to malunion and/or nonunion in 55% to 75% of cases.4,6 The factors that lead to ...

Background: Chondromalacia patella is the most common cause of mechanical knee pain in young women. Q angle and knee alignment are important clinical parameters for biomechanics of the patellofemoral joint. Objective: To identify the prevalence of knee malalignment and to find out if there is a correlation between knee mal alignment and Q angle with age at onset of disease. Methods: All pa...

Congenital malalignment of the great toenails is a disorder in which malalignment of the nail matrix results in angular lateral nail plate growth. The consequence is onychodystrophy, which may progress to onychogryphosis and chronic ingrown toenails. There has been debate as to whether the condition is inherited or acquired in utero secondary to improper fetal positioning. A 6-year-old boy and ...