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Case Challenge Osteo vs UNI

Case Challenge Osteo vs UNI. S. Hofmann Allgemeines und Orthopädisches LKH Stolzalpe. Patient. 57 years, male Orthopedic surgeon Sporting active Left dist Tibia # 1973 Left ACL 1999 Pain le knee Lat deg. Meniskus 2013 conservative. Clinic. 2014 activated arthritis

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Case Challenge Osteo vs UNI

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  1. Case ChallengeOsteo vs UNI S. Hofmann Allgemeines und Orthopädisches LKH Stolzalpe

  2. Patient • 57 years, male • Orthopedic surgeon • Sporting active • Left dist Tibia # 1973 • Left ACL 1999 • Pain le knee Lat deg. Meniskus 2013 conservative

  3. Clinic • 2014 activated arthritis • Conservative failed • Lat joint pain &painfull clicking • Little PFJ pain • ROM 0-0-140° & stable • MRT CM III-IV &lat & Meniskus

  4. Deformity Analysis • Valgus 8° • LDFA 90° • MPTA 96° • M-JL 92° • JLCA med 2°

  5. Case Discussion • Further imaging • What to offer Scope only Scope & Osteo Lateral UNI • Would you do the case or refer

  6. Case Discussion • No further imaging • Scope alone no ind • Scope & osteo preferred option • UNI not ideal • Done by specializedknee surgeons

  7. PlanningMedClosedWedge

  8. ACL intakt • Cartilage lat condyle III-IV Mikrofracture • Partial lat. meniscectomy • Med closed wedge Tibia correction axis 0° Intraoperative

  9. Post Operative • Partial WB 4 weeks • Passive motion daily 4-6 hours • Physio from week 1 • Back to work after 6 weeks • Problem ankle joint • Again rehab &back to work 2 months

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