Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

Amin, Raj M.; Raad, Micheal; Kreulen, R. Timothy; Musharbash, Farah N.; Valaik, Daniel; Wilckens, John H.

doi:10.1055/s-0040-1721423

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…The prior femoral implant may be encountered when using an intramedullary alignment guide or when making the intercondylar notch cut during a posterior-stabilized TKA 10 . Although metallic interference screws or staples in the intercondylar notch should be removed with a screwdriver or carbide burr, newer biocomposite screws or suspensory fixation may not interfere with arthroplasty component placement and thus may less frequently require implant removal 15 .…”

Section: Conversion Tka After Prior Ligament Reconstructionmentioning

confidence: 99%

Conversion Total Knee Arthroplasty

et al. 2021

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Conversion total knee arthroplasty (TKA) represents a heterogeneous group of procedures and most commonly includes TKA performed after ligamentous reconstruction, periarticular open reduction and internal fixation (ORIF), high tibial osteotomy (HTO), and unicompartmental knee arthroplasty (UKA).» Relative to patients undergoing primary TKA, patients undergoing conversion TKA often have longer operative times and higher surgical complexity, which may translate into higher postoperative complication rates.

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Section: Conversion Tka After Prior Ligament Reconstructionmentioning

confidence: 99%

Conversion Total Knee Arthroplasty

et al. 2021

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“…после операции. Большинство авторов, указывают на то, что остеосинтез внутрисуставных переломов в анамнезе приводит к более высокой частоте послеоперационных осложнений при первичном ТЭКС [12,14,15,17,18,19,20]. При этом риск развития интра-и послеоперационных осложнений после переломов проксимального отдела большеберцовой кости существенно выше в обоих ситуацияхпри выполнении артропластики после металлоостеосинтеза или по первичным показаниям [21,22,23,24,25].…”

Section: результаты лечения пациентов проспективных группunclassified

Features and Results of Knee Arthroplasty after Knee Fractures Fixation

Расулов¹,

Kulyaba²,

Kornilov

et al. 2021

Traumatology and Orthopedics of Russia

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Abstract The purpose of the study - to find out surgical intervention features, the function restoration dynamics and clinical results after primary total knee replacement (TKA) in patients with a history of osteosynthesis of intra-articular fractures, to assess the risk of complications and to suggest measures for their prevention. Material and methods. The study includes a retrospective (100 observations) and prospective (40 observations) comparative analysis of the results of primary TKA in patients with a history of osteosynthesis of intra-articular fractures (MOS) of the bones forming the knee joint (main group) and without them (comparison group). Adapted Russian-language versions of the KSS, WOMAC and FJS-12 score scales were used to study the clinical and functional results of the TKA, the incidence of any complications after arthroplasty and the X-ray position of the endoprosthesis components on the KRESS scale were evaluated. Statistical analysis of the data obtained was carried out in accordance with generally accepted methods. Results. Statistically significant differences were revealed between the patients of the main and the comparison groups according to the following indicators: the patients of the main group were 8 years younger, the duration of the operation time, the volume of intraoperative blood loss, the need for implantation of structures with an increased degree of mechanical coupling between the components of the endoprosthesis, the number of postoperative complications were greater in the patients of the main group. Functional results on the KSS and WOMAC scales did not have statistically significant and clinically differences, when assessing the satisfaction of TKA on the FJS-12 scale, statistically significantly worse results were obtained in the main group. TKA in patients with a history of MOS for intraarticular fractures of the knee joint area statistically and clinically significantly increased the amplitude of movements in the knee joint - from 89 to 108 , that is, by 19 , the function recovery dynamics according to the KSS, WOMAC and FJS-12 scales was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales and by 12 months after surgery. Conclusion. The trauma and subsequent surgical treatment of intra-articular fractures of the knee joint leads to an earlier development of posttraumatic arthritis of the 3rd degree, functional results have no statistically significant differences, satisfaction with the results of TKA in this category of patients is less, and the number of postoperative complications, are greater. A history of MOS significantly slows down the dynamics and degree of recovery of function in the early postoperative period.

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“…For patients with posttraumatic osteoarthritis, the presence of periarticular hardware complicates total knee arthroplasty (TKA) and increases the incidence of periprosthetic joint infection (PJI)[ 1 - 3 ]. Meanwhile, PJI may significantly prolong the treatment period, resulting in longer hospitalization, more complications, higher medical costs, and lower quality of life[ 4 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of periprosthetic knee infection and coexistent periprosthetic fracture: A case report and literature review

Hao¹,

Wen²,

Song³

et al. 2023

World J Clin Cases

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BACKGROUND Periprosthetic joint infection (PJI) and periprosthetic fracture (PPF) are among the most serious complications following total knee arthroplasty. Herein, we present one patient with these two complications with details on the characteristics, treatment strategy, and outcome. CASE SUMMARY A 69-year-old female patient who suffered from PJI and PPF following total knee arthroplasty was treated by a two-stage revision surgery. After thorough foreign material removal and debridement, we used a plate that was covered with antibiotic-loaded bone cement to link with a hand-made cement spacer to occupy the joint space and fix the fracture. Although the infection was cured, the fracture did not heal and caused bone defect due to the long interval between debridement and revision. In the revision surgery, a cemented stem and cortical allogenic splints were used to reconstruct the fracture and bone defect. At the final follow-up 27 mo after revision, the patient was satisfied with postoperative knee functions with satisfactory range of motion (104º) and Hospital for Special Surgery knee score (82 points). The radiographs showed no loosening of the prosthesis and that the bone grafts healed well with the femur. CONCLUSION Our two-stage revision surgery has proved to be successful and may be considered in other patients with PJI and PPF.

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Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

Cited by 7 publications

References 30 publications

Conversion Total Knee Arthroplasty

Conversion Total Knee Arthroplasty

Features and Results of Knee Arthroplasty after Knee Fractures Fixation

Treatment of periprosthetic knee infection and coexistent periprosthetic fracture: A case report and literature review

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