Total Knee Replacement in Femur Extraarticular Deformities by Dr. Anoop Jhurani

Description

In this comprehensive video on total knee replacement (TKR) procedures, Anoop Jhurani discusses the practice and principles involved in addressing femur extra-articular deformities, focusing on the impact of deformities at different points along the femur on knee replacement outcomes. The initial segments elaborate on the theoretical framework, highlighting that deformities closer to the knee, particularly distal femur deformities, have a greater influence on the TKR process and outcomes.



Key points include the management of proximal femur deformities, which can often be corrected with navigational assistance due to their relatively minor angular deviations (usually less than 15 degrees). Jhurani emphasizes the importance of correct femoral head positioning and outlines how to navigate challenges presented by shaft deformities that may arise from older fractures or hardware left in place during surgery. The video later transitions into a surgical video featuring a live case that illustrates the principles discussed, showcasing surgical techniques used to correct both proximal and distal femur deformities effectively utilizing navigation technology.



Throughout the procedure, Jhurani addresses the management of soft tissues, making it clear that maintaining stability and the right alignment during surgery is crucial for patient outcomes. He emphasizes the surgical techniques for releasing stiff knee conditions, ensuring appropriate manipulations of various muscles and tendons, and managing the presence of old hardware without necessitating its removal, thus minimizing complications.



The video provides valuable insights for orthopedic surgeons, particularly regarding contemporary practices that enhance the precision of knee replacement surgeries for patients with complex femoral deformities.

DOI: 10.1302/3114-230032

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