Knee replacement in chronic post-traumatic cases

Benazzo, Francesco; Rossi, Stefano Marco Paolo; Combi, Alberto; Meena, Sanjay; Ghiara, Matteo

doi:10.1302/2058-5241.1.000025

Cited by 12 publications

(6 citation statements)

References 12 publications

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“…The choice of the three aetiological groups (fracture, ligament injury, and osteotomy) may appear criticisable but is fully consistent with the objective of the 2016 SoFCOT symposium. Osteotomy carries the same risks and requires the same precautions as previous trauma to the knee (history of surgery with a previous approach and possible ligament damage) [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…The patients were evaluated during visits before and after the TKA procedure. The Knee injury and Osteoarthritis Outcome Score (KOOS) was determined at last follow-up [10] but not before TKA. The radiographic work-up performed before TKA and at last followup consisted of antero-posterior and lateral weight-bearing views, antero-posterior telemetry to determine the mechanical axis of the lower limb (HKA angle), and a tangential femoro-patellar view with the knee flexed at 60 • .…”

Section: Assessment Methodsmentioning

confidence: 99%

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Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients

Putman

Argenson²,

Bonnevialle³

et al. 2018

Orthopaedics & Traumatology: Surgery & Research

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Section: Discussionmentioning

confidence: 99%

Section: Assessment Methodsmentioning

confidence: 99%

Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients

Putman

Argenson²,

Bonnevialle³

et al. 2018

Orthopaedics & Traumatology: Surgery & Research

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“…The deformity leads to chronic abnormal stress on joint surfaces and subsequent cartilage degeneration. 8 In this study, we aimed to present a patient with PD who had recurrent falls and conservative treatment-resistant monoarthritis secondary to falls. We think that traumatic monoarthritis and recurrent falls in patients with PD might improve by effective surgical treatment and rehabilitation programme when they do not respond to conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Persistent Monoarthritis on the Patient of Parkinson’s Disease with Cognitive Impairment and Frequent Falls

Çelik

Ilhanli

Uysal

et al. 2017

IPMRJ

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Parkinson's disease (PD) is often associated with cognitive impairment and frequent falls. Although the cause of frequent falls is not clearly understood, cognitive impairment is thought to be the cause of frequent falls and these frequent falls can lead to serious complications such as traumatic arthritis. Traumatic arthritis is a wellknown condition that develops in the joints as a result of recurrent trauma. Here we presented a 61-year-old female patient with PD who suffered from severe pain, limitation, swelling, temperature increase and erythema of right knee also difficulty of gait. In the result of all the detailed evaluations made, conservative treatment-resistant traumatic monoarthritis and osteonecrosis were diagnosed due to recurrent falls of the patient and the patient was directed to surgical treatment. The patient's falls were ongoing due to cognitive impairment and PD and she continued to suffer from pain and swelling despite performing unicompartmental (lateral compartment) knee arthroplasty. As a result of consultations with orthopaedists we decided to perform a total knee arthroplasty on the patient. After surgery, the patient was admitted to our rehabilitation clinic for orthopedic and PD rehabilitation program. During the rehabilitation program, the symptoms of swelling and pain in the patient's knee improved and the frequency of falls decreased. The patient's rehabilitation program still continues in our clinic.

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“… 1) This early degenerative change of the articular cartilage is defined as posttraumatic osteoarthritis (PTOA). 2) Approximately 21%–44% of patients with a history of lower extremity fractures will consequently develop PTOA. 3) …”

mentioning

confidence: 99%

“… 4 5) However, TKA in the presence of PTOA is challenging since it usually involves bony nonunion/malunion, intra- or extra-articular deformity, soft-tissue problems, as well as retention of hardware that may hinder accurate restoration of the lower limb alignment and proper implant position. 1 2) …”

mentioning

confidence: 99%

Accelerometer-Based Navigation versus Conventional Total Knee Arthroplasty for Posttraumatic Knee Osteoarthritis

Rattanaprichavej

Laoruengthana

2022

Clin Orthop Surg

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Background Posttraumatic osteoarthritis (PTOA) frequently comprises femoral or tibial deformity, which makes it difficult to perform total knee arthroplasty (TKA). Accelerometer-based navigation (ABN) could be effective in restoring a neutral mechanical axis (MA) in TKA, but a limited number of studies have been reported in association with PTOA. Therefore, we aimed to compare the lower limb MA between ABN-assisted TKA (ABN-TKA) and conventional TKA in patients with PTOA. Methods We conducted a retrospective analysis of 28 PTOA patients who underwent TKA using a conventional system (cTKA group, n = 16) and the ABN system (iTKA group, n = 12). Standing long-leg radiographs were assessed for MA and prosthesis alignment as primary outcomes. A postoperative MA deviating beyond ± 3° was defined as an outlier. Perioperative outcomes, Oxford Knee Score (OKS) at 2-year follow-up, and complications were also assessed. Results The cTKA group and the iTKA group had a mean age of 63.07 years and 65.25 years, respectively. The iTKA group had significantly better MA accuracy when compared to the cTKA group (1.60° ± 2.09° vs. 3.59° ± 1.34°, p = 0.01). The iTKA group showed significantly less MA outlier than the cTKA group (78.6% vs. 25.0%, p = 0.02). The prosthesis alignment and OKS were comparable between the groups. There were 2 periprosthetic joint infections in the cTKA group and 1 periprosthetic fracture of the distal femur in the iTKA group. Conclusions For PTOA of the knee, both conventional TKA and ABN-TKA significantly improved the postoperative mechanical alignment and functional outcomes. The ABN-TKA seemed to offer higher accuracy and less MA outlier when compared to conventional TKA, and thus ABN could be a good alternative option.

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Knee replacement in chronic post-traumatic cases

Cited by 12 publications

References 12 publications

Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients

Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients

Persistent Monoarthritis on the Patient of Parkinson’s Disease with Cognitive Impairment and Frequent Falls

Accelerometer-Based Navigation versus Conventional Total Knee Arthroplasty for Posttraumatic Knee Osteoarthritis

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