Narrative review addressing surgical decision-making for posttraumatic knee arthritis — a common sequela of periarticular fractures and ligamentous injury. Covers patient selection and technical considerations for osteotomy, fresh osteochondral allograft, arthrodesis, and TKA, with emphasis on the unique intraoperative challenges this population presents.
When you encounter a patient under 50 with posttraumatic knee arthritis and residual malalignment, joint-preserving strategies (osteotomy ± osteochondral allograft) are the first-line framework — uncorrected alignment will doom either the allograft or a future implant.
When TKA is necessary, counsel patients upfront: expect higher complication rates, inferior functional outcomes, and complex intraoperative decision-making compared to primary osteoarthritis cases.
Narrative review addressing surgical decision-making for posttraumatic knee arthritis — a common sequela of periarticular fractures and ligamentous injury. Covers patient selection and technical considerations for osteotomy, fresh osteochondral allograft, arthrodesis, and TKA, with emphasis on the unique intraoperative challenges this population presents.
When you encounter a patient under 50 with posttraumatic knee arthritis and residual malalignment, joint-preserving strategies (osteotomy ± osteochondral allograft) are the first-line framework — uncorrected alignment will doom either the allograft or a future implant.
When TKA is necessary, counsel patients upfront: expect higher complication rates, inferior functional outcomes, and complex intraoperative decision-making compared to primary osteoarthritis cases.