PMC4957157_01
(a) A standing frontal plane photograph, taken preoperatively. (b) A standing lateral plane photograph taken preoperatively.
gr1.jpg
PMC4957157_01_gr1.jpg
fig1
The long-leg anterior-posterior radiograph revealed a 13 varus deviation from the mechanical of the limb (Figs. 1 and 2; Table 1).
(a) A lateral radiograph of the right knee, demonstrating 38  of recurvatum, taken preoperatively. (b) An anterior-posterior radiograph of the right knee taken preoperatively. (c) A long-leg standing anterior-posterior radiograph taken preoperatively, demonstrating 13  varus alignment.
gr2.jpg
PMC4957157_01_gr2.jpg
fig2
The long-leg anterior-posterior radiograph revealed a 13 varus deviation from the mechanical of the limb (Figs. 1 and 2; Table 1).
Intraoperative photograph of the osteotomy with the IM nail in situ.
gr3.jpg
PMC4957157_01_gr3.jpg
fig3
The position of the osteotomy was identified under direct vision and confirmed via an image intensifier (Fig. 3).
Stryker Precision navigation system native knee parameters before any bony resections.
gr4.jpg
PMC4957157_01_gr4.jpg
fig4
Stryker Precision navigation system recording the dynamic preoperative knee assessment graph.
gr5.jpg
PMC4957157_01_gr5.jpg
fig5
This reflected some increased lateral laxity which was predictable (Fig. 5).
Stryker Precision navigation system navigation image of the resection level of the proximal tibia.
gr6.jpg
PMC4957157_01_gr6.jpg
fig6
Stryker Precision navigation system recording the distal femoral resection.
gr7.jpg
PMC4957157_01_gr7.jpg
fig7
The knee was balanced in extension requiring no medial soft tissue release (Fig. 7).
Stryker Precision navigation system recording the posterior condyle resection. AP, anterior posterior axis; TEA, trans epicondylar axis.
gr8.jpg
PMC4957157_01_gr8.jpg
fig8
Stryker Precision navigation system recording the flexion gap balance.
gr9.jpg
PMC4957157_01_gr9.jpg
fig9
Stryker Precision navigation system confirming alignment with definitive implants.
gr10.jpg
PMC4957157_01_gr10.jpg
fig10
In extension, the alignment was 3  of varus to a 2  valgus when placed in 90  of flexion Figure 10, Figure 11, Figure 12.
Intraoperative photograph after osteotomy, arthroplasty, and bone graft.
gr11.jpg
PMC4957157_01_gr11.jpg
fig11
In extension, the alignment was 3  of varus to a 2  valgus when placed in 90  of flexion Figure 10, Figure 11, Figure 12.
Final alignment curve - post osteotomy and post arthroplasty.
gr12.jpg
PMC4957157_01_gr12.jpg
fig12
In extension, the alignment was 3  of varus to a 2  valgus when placed in 90  of flexion Figure 10, Figure 11, Figure 12.
Photograph taken in frontal plane at 6 months postoperatively.
gr13.jpg
PMC4957157_01_gr13.jpg
fig13
The patient's WOMAC and HSS scores at 6 weeks postoperatively were 27 and 59, respectively (Figs. 13 and 14).
Photograph taken in the sagittal plane at 6 months postoperatively.
gr14.jpg
PMC4957157_01_gr14.jpg
fig14
The patient's WOMAC and HSS scores at 6 weeks postoperatively were 27 and 59, respectively (Figs. 13 and 14).
Anteroposterior knee radiograph taken at 6 months postoperatively.
gr15.jpg
PMC4957157_01_gr15.jpg
fig15