{"id":"https://openalex.org/W4408260352","doi":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","title":"Total Knee Replacement for Varus Deformity in Osteoarthritis of Knee with Multiple Hereditart Exostoses \u2013 A Rare Case Report","display_name":"Total Knee Replacement for Varus Deformity in Osteoarthritis of Knee with Multiple Hereditart Exostoses \u2013 A Rare Case Report","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4408260352","doi":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","pmid":"https://pubmed.ncbi.nlm.nih.gov/40092235","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11907136"},"language":"en","primary_location":{"id":"doi:10.13107/jocr.2025.v15.i03.5318","doi":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027517560","display_name":"Chaitanya S Vyawahare","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116893","display_name":"Deenanath Mangeshkar Hospital and Research Center","ror":"https://ror.org/02fv7x872","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210116893"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Chaitanya Vyawahare","raw_affiliation_strings":["Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210116893"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Rohan Bhargava","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116893","display_name":"Deenanath Mangeshkar Hospital and Research Center","ror":"https://ror.org/02fv7x872","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210116893"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rohan Bhargava","raw_affiliation_strings":["Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210116893"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116562169","display_name":"Shivaram Muthiah","orcid":"https://orcid.org/0009-0005-4869-1650","observed_orcids":["https://orcid.org/0009-0005-4869-1650"]},"institutions":[{"id":"https://openalex.org/I4210116893","display_name":"Deenanath Mangeshkar Hospital and Research Center","ror":"https://ror.org/02fv7x872","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210116893"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Shivaram Muthiah","raw_affiliation_strings":["Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210116893"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116562170","display_name":"U N Rakesh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116893","display_name":"Deenanath Mangeshkar Hospital and Research Center","ror":"https://ror.org/02fv7x872","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210116893"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"U N Rakesh","raw_affiliation_strings":["Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210116893"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5116562171","display_name":"Peeyush Belsare","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210116893","display_name":"Deenanath Mangeshkar Hospital and Research Center","ror":"https://ror.org/02fv7x872","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I4210116893"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Peeyush Belsare","raw_affiliation_strings":["Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Joint Replacement, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India","institution_ids":["https://openalex.org/I4210116893"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5116562171"],"corresponding_institution_ids":["https://openalex.org/I4210116893"],"apc_list":{"value":250,"currency":"USD","value_usd":250},"apc_paid":{"value":250,"currency":"USD","value_usd":250},"fwci":0.7002,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.64506416,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"15","issue":"3","first_page":"17","last_page":"21"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10105","display_name":"Osteoarthritis Treatment and Mechanisms","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10442","display_name":"Knee injuries and reconstruction techniques","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.8769999742507935},{"id":"https://openalex.org/keywords/hereditary-multiple-exostoses","display_name":"hereditary multiple exostoses","score":0.9649999737739563},{"id":"https://openalex.org/keywords/varus-deformity","display_name":"varus deformity","score":0.8679999709129333},{"id":"https://openalex.org/keywords/knee-osteoarthritis","display_name":"knee osteoarthritis","score":0.9919999837875366},{"id":"https://openalex.org/keywords/osteochondroma","display_name":"osteochondroma","score":0.8149999976158142},{"id":"https://openalex.org/keywords/posterior-stabilized-implants","display_name":"posterior-stabilized implants","score":0.5730000138282776},{"id":"https://openalex.org/keywords/femoral-component-sizing","display_name":"femoral component sizing","score":0.777999997138977},{"id":"https://openalex.org/keywords/patellar-tracking","display_name":"patellar tracking","score":0.8320000171661377}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9127447009086609},{"id":"https://openalex.org/C2781017183","wikidata":"https://www.wikidata.org/wiki/Q7911553","display_name":"Valgus","level":2,"score":0.6594976782798767},{"id":"https://openalex.org/C2780101951","wikidata":"https://www.wikidata.org/wiki/Q2443822","display_name":"Varus deformity","level":4,"score":0.6294963955879211},{"id":"https://openalex.org/C2776824190","wikidata":"https://www.wikidata.org/wiki/Q753108","display_name":"Subluxation","level":3,"score":0.5333316922187805},{"id":"https://openalex.org/C2780368125","wikidata":"https://www.wikidata.org/wiki/Q229081","display_name":"Patella","level":2,"score":0.5289003252983093},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.523829996585846},{"id":"https://openalex.org/C2778879847","wikidata":"https://www.wikidata.org/wiki/Q14541638","display_name":"Valgus deformity","level":3,"score":0.49283790588378906},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.4679953455924988},{"id":"https://openalex.org/C2778104916","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Knee replacement","level":3,"score":0.4572347104549408},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.455030232667923},{"id":"https://openalex.org/C2779982284","wikidata":"https://www.wikidata.org/wiki/Q1182746","display_name":"Deformity","level":2,"score":0.448327898979187},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.4462677538394928},{"id":"https://openalex.org/C2908736133","wikidata":"https://www.wikidata.org/wiki/Q37425","display_name":"Knee Joint","level":2,"score":0.4278864562511444},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3956168293952942},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.13107/jocr.2025.v15.i03.5318","doi":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11907136","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11907136","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Orthop Case Rep","raw_type":"Text"},{"id":"pmid:40092235","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40092235","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of orthopaedic case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:1da4406aadf34dc38ad56f15decdf3ce","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/1da4406aadf34dc38ad56f15decdf3ce","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Orthopaedic Case Reports, Vol 15, Iss 3, Pp 17-21 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.13107/jocr.2025.v15.i03.5318","doi":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","is_oa":true,"landing_page_url":"https://doi.org/10.13107/jocr.2025.v15.i03.5318","pdf_url":null,"source":{"id":"https://openalex.org/S2764394085","display_name":"Journal of Orthopaedic Case Reports","issn_l":"2250-0685","issn":["2250-0685","2321-3817"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310318662","host_organization_name":"Indian Orthopaedic Research Group","host_organization_lineage":["https://openalex.org/P4310318662"],"host_organization_lineage_names":["Indian Orthopaedic Research Group"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W1968880504","https://openalex.org/W1970442389","https://openalex.org/W1991648796","https://openalex.org/W2015738195","https://openalex.org/W2068450220","https://openalex.org/W2087834844","https://openalex.org/W2135652758","https://openalex.org/W2159911630","https://openalex.org/W2788423010","https://openalex.org/W2888229742","https://openalex.org/W3015655018","https://openalex.org/W3187928299","https://openalex.org/W4385804428"],"related_works":["https://openalex.org/W2788423010","https://openalex.org/W3164065025","https://openalex.org/W7147481985","https://openalex.org/W4308765696","https://openalex.org/W4283387548","https://openalex.org/W3015655018","https://openalex.org/W1968880504","https://openalex.org/W2590074143","https://openalex.org/W2010941990","https://openalex.org/W3213105820"],"abstract_inverted_index":{"Introduction:":[0],"Multiple":[1],"hereditary":[2],"exostosis":[3],"(MHE)":[4],"is":[5,95,255],"a":[6,103,106,124,170],"genetic":[7],"condition":[8],"inherited":[9],"in":[10,19,30,90,98,257,283],"an":[11,53,213],"autosomal":[12],"dominant":[13],"manner,":[14],"resulting":[15],"from":[16],"point":[17],"mutations":[18],"exostosin":[20],"genes.":[21],"Knee":[22],"deformities,":[23],"such":[24,284],"as":[25],"genu":[26],"valgus,":[27],"are":[28,277],"common":[29],"individuals":[31],"with":[32,92,113,121,207],"MHE,":[33],"often":[34],"localized":[35],"to":[36,52,59,68,79,143,147,219,244],"the":[37,44,48,80,99,144,200,251,265,269,275],"proximal":[38],"tibial":[39],"metaphysis,":[40],"and":[41,72,115,152,212,234,250,271],"occasionally":[42],"involving":[43],"femur.":[45],"Osteochondromas":[46],"at":[47],"knee":[49,85,117,150],"can":[50],"lead":[51,67],"oblique":[54],"joint":[55],"line":[56],"orientation,":[57],"contributing":[58],"earlier":[60,76],"onset":[61],"arthritis.":[62],"Increased":[63],"angulation":[64],"may":[65],"also":[66],"lateral":[69,238],"patella":[70],"subluxation":[71],"patellofemoral":[73],"complaints,":[74],"necessitating":[75],"interventions":[77],"compared":[78],"general":[81],"population.":[82],"While":[83],"total":[84],"arthroplasty":[86],"(TKA)":[87],"for":[88,175,279],"osteoarthritis":[89],"MHE":[91,114],"varus":[93,116,153],"deformity":[94,118],"rarely":[96],"reported":[97],"literature,":[100],"we":[101],"present":[102],"case":[104],"of":[105,181,193,202,248,264,274],"high":[107],"body":[108],"mass":[109],"index":[110],"(BMI)":[111],"female":[112],"successfully":[119],"treated":[120],"TKA":[122,177],"using":[123,169],"standard":[125,173],"posterior":[126],"stabilized":[127],"implant,":[128],"without":[129],"additional":[130],"constraints":[131],"or":[132],"extensive":[133],"releases.":[134],"Case":[135],"Report:":[136],"A":[137],"54-year-old":[138],"Indian":[139],"woman,":[140],"homemaker":[141],"presented":[142],"clinic":[145],"due":[146],"progressive":[148],"left":[149],"pain":[151],"deformity.":[154],"Her":[155],"BMI":[156],"was":[157,167,184,196,205,217,225,232],"40.":[158],"With":[159],"no":[160,208],"significant":[161],"family":[162],"history":[163],".":[164,178],"The":[165,179,191],"surgery":[166],"performed":[168],"tourniquet.":[171],"Using":[172],"instrumentation":[174],"conventional":[176],"angle":[180],"bone":[182],"resection":[183],"determined":[185],"preoperatively":[186],"through":[187],"manual":[188],"radiographic":[189],"templating.":[190],"sizing":[192,273],"femoral":[194],"component":[195],"done":[197,218],"precariously":[198],"since":[199],"anatomy":[201,253],"distal":[203],"femur":[204,276],"altered":[206],"prominent":[209],"anterolateral":[210],"ridge":[211],"anterior":[214],"referencing":[215],"system":[216],"avoid":[220],"notching.":[221],"Tibial":[222],"rotational":[223],"alignment":[224],"based":[226],"on":[227],"anatomic":[228],"landmarks.":[229],"Patellofemoral":[230],"tracking":[231],"excellent":[233],"did":[235],"not":[236],"require":[237],"retinacular":[239],"release.":[240],"Conclusion:":[241],"Careful":[242],"attention":[243],"technical":[245],"aspects,":[246],"selection":[247],"implants":[249],"unique":[252],"involved,":[254],"crucial":[256],"planning":[258],"this":[259],"procedure.":[260],"Ensuring":[261],"proper":[262],"balance":[263],"ligaments":[266],"tented":[267],"by":[268],"osteochondromas":[270],"meticulous":[272],"essential":[278],"favorable":[280],"functional":[281],"outcomes":[282],"cases.":[285]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2025-03-09T00:00:00"}