Total knee arthroplasty in a below-knee amputee

Crawford, John R.; Coleman, Nigel

doi:10.1016/s0883-5403(03)00209-2

Cited by 17 publications

(17 citation statements)

References 5 publications

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“…In this case, the patient's symptomatic tricompartmental arthritis and failure of conservative management with physical therapy, nonsteroidal anti-inflammatory medications, and intraarticular steroid injections led to the recommendation of surgical treatment with TKA. Based on the experience with this case as well as a review of the existing literature, the main challenges of TKA after ipsilateral BKA include surgical positioning, tibial component alignment, and postoperative rehab protocol [ [8] , [13] , [18] , [19] , [20] , [21] , [22] , [23] , [24] ]. A brief overview of studies describing BKA after ipsilateral TKA, including 8 patients with 9 TKAs, is given in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Total Knee Arthroplasty After Ipsilateral Below-knee Amputation: A Review of the Literature and Surgical Techniques

2022

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Section: Discussionmentioning

confidence: 99%

Total Knee Arthroplasty After Ipsilateral Below-knee Amputation: A Review of the Literature and Surgical Techniques

2022

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“…While there are few earlier case reports of total knee arthroplasty (TKA) performed in below-knee amputees, [7][8][9] for the first time we report a case of bilateral Syme's amputee who underwent right knee PFA. Controversy exists regarding the prevalence of PF OA in them.…”

Section: Discussionmentioning

confidence: 99%

Patellofemoral arthroplasty in a bilateral Syme's amputee

Kanna

Barrett

2016

Journal of Clinical Orthopaedics and Trauma

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We present the case of a 50-year-old woman, who is a bilateral Syme's amputee and subsequently underwent patellofemoral arthroplasty (PFA) for osteoarthritis primarily involving the patellofemoral (PF) joint. History and physical examination were suggestive of severe PF arthritis without patellar instability of the right knee. The diagnosis was confirmed by roentgenogram and a PFA was performed. A slightly modified rehabilitation program was implemented and the patient was followed until 6 years after surgery. In comparison to the preoperative scores, the Oxford, the Western Ontario and McMaster Universities (WOMAC), the Knee Society, and the Hospital for Special Surgery Knee Scores improved significantly (p < 0.05) at the time of final follow-up. PF problems specific to below-knee amputees, factors to be considered before performing PFA, and the drawbacks of other treatment modalities in these patients have been discussed.

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“…The knee was opened in layers using a midline skin incision and a medial peripatellar arthrotomy (Crawford and Coleman 2003). Free-hand tibial plateau resection was done using a sagittal saw.…”

Section: Methodsmentioning

confidence: 99%

Osseointegrated total knee replacement connected to a lower limb prosthesis: 4 cases

Khemka¹,

Frossard²,

Lord³

et al. 2015

Acta Orthopaedica

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Background and purpose — Osseointegrated implants are an alternative for prosthetic attachment in individuals with amputation who are unable to wear a socket. However, the load transmitted through the osseointegrated fixation to the residual tibia and knee joint can be unbearable for those with transtibial amputation and knee arthritis. We report on the feasibility of combining total knee replacement (TKR) with an osseointegrated implant for prosthetic attachment.Patients and methods — We retrospectively reviewed all 4 cases (aged 38–77 years) of transtibial amputations managed with osseointegration and TKR in 2012–2014. The below-the-knee prosthesis was connected to the tibial base plate of a TKR, enabling the tibial residuum and knee joint to act as weight-sharing structures. A 2-stage procedure involved connecting a standard hinged TKR to custom-made implants and creation of a skin-implant interface. Clinical outcomes were assessed at baseline and after 1–3 years of follow-up using standard measures of health-related quality of life, ambulation, and activity level including the questionnaire for transfemoral amputees (Q-TFA) and the 6-minute walk test.Results — There were no major complications, and there was 1 case of superficial infection. All patients showed improved clinical outcomes, with a Q-TFA improvement range of 29–52 and a 6-minute walk test improvement range of 37–84 meters.Interpretation — It is possible to combine TKR with osseointegrated implants.

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Total knee arthroplasty in a below-knee amputee

Cited by 17 publications

References 5 publications

Total Knee Arthroplasty After Ipsilateral Below-knee Amputation: A Review of the Literature and Surgical Techniques

Total Knee Arthroplasty After Ipsilateral Below-knee Amputation: A Review of the Literature and Surgical Techniques

Patellofemoral arthroplasty in a bilateral Syme's amputee

Osseointegrated total knee replacement connected to a lower limb prosthesis: 4 cases

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