Total Knee Arthroplasty

Lee, Dong Chul; Sohn, Wook Jin

doi:10.1002/9780470693872.ch12

Cited by 9 publications

(8 citation statements)

References 139 publications

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“…With the appropriate selection of cases and the improvement in surgical and medical management, 36 patients at the Katharine Dormandy Haemophilia Centre, followed up for 6–17 years, have shown an excellent or good outcome to TKR in 86% of cases. This is comparable to the data published on TKR in haemophilia patients [32]. The range of movement achieved after TKR is determined by the range of movement preoperatively, and taken together with these improvements in outcome, patients are being offered TKR at younger ages with a resultant improvement in quality of life.…”

Section: Orthopaedic Interventionssupporting

confidence: 83%

Optimal treatment regimens for patients with bleeding disorders

Brown¹,

Aledort²,

Lee³

et al. 2001

Haemophilia

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Section: Orthopaedic Interventionssupporting

confidence: 83%

Optimal treatment regimens for patients with bleeding disorders

Brown¹,

Aledort²,

Lee³

et al. 2001

Haemophilia

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“…The experience at the Royal Free Hospital is very similar to that of Rodriguez‐Merchan & Wiedel [12]. Over the period 1983–2000 we have performed 36 primary total knee replacements in 27 patients.…”

Section: What Should We Expect?mentioning

confidence: 81%

“…Rodriguez‐Merchan & Wiedel [12] reported their combined experience of 37 total knee arthroplasties performed on 26 men between March 1975 and November 1995. Twenty‐three men had classic type A haemophilia and three had type B haemophilia.…”

Section: What Should We Expect?mentioning

confidence: 99%

Total knee replacement in haemophilia

Goddard

Rodríguez-Merchán

Wiedel³

2002

Haemophilia

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We believe that total knee replacement (TKR) is a safe and effective procedure for the management of haemophiliac joint arthropathy; however, the increased risk of infection and non-infective complications remain a cause for concern. TKR in haemophilic patients carries with it an increased risk of post-operative infection in comparison to non-haemophiliac patients. Those patients at particular risk are the HIV-positive haemophiliac patients whose CD4 count is less than 200 cells mm-3. The latest techniques have gone a long way to reducing the complication rate and to achieving results that match those of a similar non-haemophiliac population.

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“…We have made a retrospective review of 37 TKAs, performed on 26 men from March 1975 to November 1995 [11]. The HSS knee rating scale gives the following scores: 85-100 is excellent, 70-84 is good, 60-69 is fair, and < 60 is poor.…”

Section: Authors' Experiencementioning

confidence: 99%

Total knee arthroplasty in HIV‐positive haemophilic patients

Rodríguez-Merchán

Wiedel²

2002

Haemophilia

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In the era of total joint replacements in orthopaedics, total knee arthroplasty (TKA) should be indicated in haemophilic patients suffering from severe knee pain and disability. However, the expected high risk of infection and other postoperative complications is a concern. Although the message of this article may seem conservative, it should not be inferred that TKA should still be avoided in a haemophilic patient, but rather that the orthopaedic surgeon should weigh the risks and benefits carefully. Clinical and immunological status should be considered before suggesting a total knee replacement to a haemophilic patient. If TKA is contraindicated, knee arthrodesis is the alternative. However, knee joint debridement can relieve pain for several years and delay the need for TKA.

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Total Knee Arthroplasty

Cited by 9 publications

References 139 publications

Optimal treatment regimens for patients with bleeding disorders

Optimal treatment regimens for patients with bleeding disorders

Total knee replacement in haemophilia

Total knee arthroplasty in HIV‐positive haemophilic patients

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