A case of gonarthrosis secondary to varus angular deformity

Abstract

Background. Gonarthrosis is defined as the arthrosis of the knee, being one of the most common joint disorders of the elder, affecting about 30% of >60 years old people. As anarthrosis is usually a silent disease that is discovered at late stages as it causes pain when the patient mobilizes the affected articulation. Out of the 291 conditions that contribute to disability, hip and knee osteoarthrosis are ranked 11th, knee arthrosis affecting more the 250 million people, based on a 2010 statistic (about 3.6% of the population) Case report. The patient, a 63 years old woman, was admitted to the Orthopedics and Traumatology clinic at the Emergency County Hospital on 26th of February accusing pain at the right knee and functional impotence. The primary diagnosis of the patient was gonarthrosis secondary to varus angular deformity, but also suffering arterial hypertension, being under treatment with Ramipril, having an ASA score of II. The surgical procedure took place on the 3rd of March and consisted of cemented total knee arthroplasty which represents the gold standard in such interventions. Because of the deformity of the knee, the ligamentar balancing is much harder to obtain than in a non-deformity patient. The patient is now recovering and is waiting for discharge. Conclusions.The arthrosis of the knee is a medical condition that affects the mobility of the patient and disables him in his daily routine. The gold standard in treating such conditions consists of a cemented total knee replacement.