International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 5, Issue 2 | Case Report | Open Access DOI
Sérgio Rocha Piedade*
Sérgio Rocha Piedade1*, Ricardo Bastos2, Philippe Neyret3
1State University of Campinas-UNICAMP, Campinas, Brazil
2Jiahui International Hospital, Shanghai, China
3Infirmerie Protestante, Caluire 69300, France
*Correspondence to: Sérgio Rocha Piedade
Fulltext PDFTKA in the setting of severe varus knee osteoarthritis with a large extraarticular deformity of the proximal tibial metaphysis in Paget's disease presents a complex scenario even for experienced surgeons. The pathophysiology of Paget's disease can lead to structural lower-limb deformities, which can pose significant hurdles to the introduction of intramedullary guides, as it can deform the bone and obliterate medullary canals. Moreover, the closer and larger the deformity is to the knee, the greater its importance to the malalignment. All these points triggered the discussion of this case report on the surgical management of a 62-year-old Woman, diagnosed with Paget's disease and under long-term clinical follow-up with a rheumatologist and taking diphosphonate, who developed severe varus knee osteoarthritis, more pronounced in the right knee. This paper addresses the role of preoperative assessment and intraoperative steps in the surgical management of severe varus knee osteoarthritis with a large extraarticular deformity of the proximal tibial metaphysis. It discusses the strategy adopted for a one-stage proximal tibial open-wedge osteotomy with total knee arthroplasty in the right knee in Paget's disease.
Genu Varum; Osteitis Deformans; Osteoarthritis, Knee; Osteotomy; Arthroplasty, Replacement, Knee
Sérgio Rocha Piedade, Ricardo Bastos, Philippe Neyret. Surgical Management of Severe Medial Knee Osteoarthritis and Tibial Varus Metaphyseal Deformity in Paget's Disease. Int Clinc Med Case Rep Jour. 2026;5(2):1-10.