Use of a preoperative 3D templating and proximal lateral tibial fitting patient-specific instrumentation in fixed valgus complex primary total knee arthroplasty for a patient with retaining hardware for internal fixation to treat Schatzker type V tibial plateau fracture: A case report

• Published in: SAGE open medical case reports 2023-01, Vol.11
• Main Authors: Mizunuma, Yuta, Takahashi, Tsuneari, Iguchi, Masaki, Sasanuma, Hideyuki, Saitsu, Akihiro, Handa, Mikiko, Matsumura, Tomohiro, Takeshita, Katsushi
• Format: Article
• Language: English
• Subjects: Case Report
• ISSN: 2050-313X; 2050-313X
• DOI: 10.1177/2050313X231215217

A 72-year-old female patient with a fixed valgus knee deformity due to a Schatzker type V tibial plateau fracture treated with bilateral locking plates 8 years ago was admitted to our clinic with complaints of chronic pain and knee instability when walking. Radiographs revealed Kellgren–Lawrence Classification grade 4 knee osteoarthritis and 20.5° of valgus knee deformity. She was treated with three-dimensional templating and proximal lateral tibial fitting patient-specific instrumentation-assisted mechanically aligned posterior sacrificing total knee arthroplasty with minimal removal of the retained hardware for the internal fixation of the tibial plateau fracture via a lateral approach, resulting in a favorable clinical outcome. The use of proximal lateral tibial fitting patient-specific instrumentation in fixed valgus complex primary total knee arthroplasty for patients with retaining hardware for internal fixation to treat tibial plateau fractures is considered a treatment option to decrease surgical invasion.