Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis

Ojima, Tomohiro; Yokogawa, Akio; Yamakado, Kotaro; Ogawa, Kenji; Kobayashi, Takashi; Nakashima, Akikatsu; Ogawa, Haruhiko

doi:10.1007/s10165-005-0380-3

Cited by 8 publications

(8 citation statements)

References 12 publications

(15 reference statements)

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“…With the ability to take down fusions of long standing duration as a viable alternative, the importance of saving as much bone as possible , especially patella bone stock in cases of knee fusion cannot be overemphasized. In fused knee cases that have good bone stock, owing to capsular contracture in medial and lateral, enough stability for the use of usual prostheses can be achieved, but higher constrain prostheses should always be available (10). …”

Section: Discussionmentioning

confidence: 99%

Conversion of Fused Knee Following Distal Femur Tumor Surgery to Total Knee Arthroplasty

Jamshidi¹,

Hadi²,

Shirazi³

et al. 2013

Iran Red Crescent Med J

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Conversion of knee arthrodesis to total knee arthroplasty is a difficult procedure accompanied by many complications due to soft tissue and extensor mechanism contracture and bone defects. We report two cases of distal femur osteosarcoma that had been undergone wide resection arthrodesis initially. Arthrodesis was converted to total knee arthroplasty with hinged prosthesis after many years. We describe patients' history and outline their surgical therapy and prognosis. To the best of the authors' knowledge, few cases have been previously reported in the literature.Keywords: Knee; Arthrodesis; Osteosarcoma; Arthroplasty; Replacement; Knee Implication for health policy/practice/research/medical education: Converting arthrodesis to total knee arthroplasty is a great help to improve the patient's function. This conversion is a very difficult procedure. This article discusses two cases of the conversion and their procedure and represents their results. It helps orthopedic surgeons do the surgery properly.

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Section: Discussionmentioning

confidence: 99%

Conversion of Fused Knee Following Distal Femur Tumor Surgery to Total Knee Arthroplasty

Jamshidi¹,

Hadi²,

Shirazi³

et al. 2013

Iran Red Crescent Med J

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“…Hence, it is critical to achieve correction of deformity, equalize the medial and lateral soft tissue tension, and implant the components accurately. Appropriate soft tissue balancing in the form of ligament and capsular release at the time of arthroplasty is essential to the success of the procedure [ 21 , 22 ]. As to the remaining some flexion in operation, it was especially important to properly position the individual components and the resulting overall alignment of the lower extremity in RA knee with one-stage TKA [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Total knee arthroplasty treatment of rheumatoid arthritis with severe versus moderate flexion contracture

2013

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BackgroundThis study aims to explore the technique of soft tissue balance and joint tension maintenance in total knee arthroplasty (TKA) for the rheumatoid arthritis (RA) patients with flexion contracture of the knee.MethodsThis retrospective study reviewed flexion contracture deformity of RA patients who underwent primary TKA and ligament and soft tissue balancing. Based on the flexion contracture deformity, the remaining 76 patients available for analysis were divided into two groups, i.e., severe flexion group (SF) and moderate flexion group (MF).ResultsThere were no intraoperative complications in this study. All patients had improved Knee Society Rating System scores and range of motion. The flexion contracture was completely corrected in MF and SF patients. There were no cases of patellar dislocation, but three cases had mild mediolateral instability in severe flexion group. Four knees (two knees in SF versus two knees in MF) had transient peroneal nerve palsy but recovered after conservative therapy.ConclusionsTKA can be performed successfully in the RA knees with severe flexion contracture. It is very important in TKA to maintain the joint stability in the condition of severe flexion contracture deformity of the RA knee.

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“…Spontaneous osseous ankylosis can occur in weight‐bearing joints as a rare late stage manifestation of rheumatoid arthritis (Ojima et al ., ); however, the most common predilectional sites affected by the disease are the small joints of the hands and feet. Bilateral marginal erosions of the proximal interphalangeal joints and also of the metacarpo‐phalangeal and metatarso‐phalangeal joints are visible in most affected patients; moreover, osteoporosis is also noted around the affected joints (Waldron, ).…”

Section: Discussionmentioning

confidence: 99%

Knee Ankyloses Associated with Tuberculosis from the Medieval Hungary - Differential Diagnosis Based on Medical Imaging Techniques

Paja

Coqueugniot

Dutour

et al. 2012

Int. J. Osteoarchaeol.

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Osseous ankylosis of large joints that occurs secondary to infection is rarely described in developed countries, thanks to diagnostic techniques that allow early detection and treatment of the underlying infection. Evidence of the natural history and progression of the disease is now primarily studied through the observation and analysis of osteoarcheological specimens, and medical reports or books dating from the pre-antibiotic era. This report illustrates several cases where modern medical imaging techniques and ancient medical literature were successfully interpreted to diagnose rare, advanced-stage tuberculous alterations in osteoarcheological specimens. Two skeletons from the Bátmonostor cemetery (Hungary) demonstrate complete unilateral ankylosis of the knee. Macroscopic and radiographic examinations were undertaken to assess the extent of skeletal changes and determine their cause. Data obtained from computed tomography (CT) were constructed in 2D and 3D. The 2D CT images revealed cavities involving both the metaphyses and the epiphyses. The 3D reconstructions allowed us to reconstruct the more precise volumetric morphology of the circumscribed lytic lesions, as well as clear 'image-mirror' lacunar volumes. On the basis of the macroscopic and radiological analyses, extra-spinal tuberculous infection seems to have been the most probable etiology of these two cases.

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Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis

Cited by 8 publications

References 12 publications

Conversion of Fused Knee Following Distal Femur Tumor Surgery to Total Knee Arthroplasty

Conversion of Fused Knee Following Distal Femur Tumor Surgery to Total Knee Arthroplasty

Total knee arthroplasty treatment of rheumatoid arthritis with severe versus moderate flexion contracture

Knee Ankyloses Associated with Tuberculosis from the Medieval Hungary - Differential Diagnosis Based on Medical Imaging Techniques

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