# Reconstruction Using Hinged Knee Replacement of an Unusual Knee Deformity as a Sequelae of Paediatric Septic Arthritis: A Case Report

**Authors:** Zakareya Gamie, Ziad Mahmoud, Nicholas Cooke

PMC · DOI: 10.7759/cureus.82347 · Cureus · 2025-04-16

## TL;DR

A man with a rare knee deformity from childhood infection underwent a hinged knee replacement to improve function and symptoms.

## Contribution

A novel hinged knee replacement approach for an unusual deformity caused by childhood septic arthritis is described.

## Key findings

- A 28-year-old man had a complex knee deformity from childhood septic arthritis.
- A hinged knee replacement was used to address the deformity and improve function.
- The case highlights late complications from pediatric osteoarticular infections.

## Abstract

Patients with osteoarticular infections may have initial complications secondary to bacteraemia and late complications related to bone alterations due to infection. We present a case of a 28-year-old man with a complex deformity of his left knee as a sequelae of septic arthritis, varus with concave deformity of the lateral tibial plateau, and bony deficiency in the medial compartment. We describe how a hinged knee replacement was undertaken to deal with an unusual deformity and improve patient symptoms and function.

## Linked entities

- **Diseases:** septic arthritis (MONDO:0004471)

## Full-text entities

- **Diseases:** bony deficiency in the medial (MESH:D018213), Knee Deformity (MESH:D007718), bacteraemia (MESH:C531821), infection (MESH:D007239), osteoarticular infections (MESH:D014394), Septic Arthritis (MESH:D001170), varus (MESH:D060905)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12082378/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12082378/full.md

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Source: https://tomesphere.com/paper/PMC12082378