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Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report
- Authors: Murylev V.Y.1,2, Alekseev S.S.2, Kukovenko G.A.1,2, Elizarov P.M.1,2, Golubkin D.O.1, Muzychenkov A.V.1,2
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Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- S.P. Botkin Moscow City Clinical Hospital
- Issue: Vol 30, No 4 (2024)
- Pages: 114-123
- Section: Case Reports
- Submitted: 05.02.2024
- Accepted: 19.06.2024
- Published: 18.12.2024
- URL: https://journal.rniito.org/jour/article/view/17454
- DOI: https://doi.org/10.17816/2311-2905-17454
- ID: 17454
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Abstract
Background. Total knee arthroplasty in patients in the residual stage of poliomyelitis is a technically difficult job. The reasons for this are anatomical features and therefore difficulties in an implant choice and conflicting results. In the present case report, we describe a unique method of a computer-navigated installation of a rotating-hinge implant in a non-standard position for a patient with residual poliomyelitis.
The aim of the study is to demonstrate a method of a computer-navigated installation of rotating-hinge knee implants in a patient with severe hyperextension and valgus deformity in the residual stage of poliomyelitis.
Case description. The clinical case presents a 55-year-old man with lower peripheral paraparesis as a consequence of poliomyelitis and bilateral valgus knee arthritis with severe hyperextension. The patient moved on crutches at a distance no more than 300 meters. Two-stage total knee arthroplasty was performed using a navigation system and second-generation rotating-hinge implants. At the 4-year follow-up period, we note a good clinical result, and the patient is satisfied with the total knee arthroplasty outcomes.
Conclusion. The clinical case demonstrates good results of performing total knee arthroplasty in a patient with bilateral severe hyperextension and knee valgus deformity in residual poliomyelitis. Having analyzed available topic-related literature, we developed an original method of a computer-navigated installation of a second-generation rotating-hinge implant. The method can be an effective treatment solution for patients with knee arthritis deformity in the residual stage of poliomyelitis.
About the authors
Valery Y. Murylev
I.M. Sechenov First Moscow State Medical University (Sechenov University); S.P. Botkin Moscow City Clinical Hospital
Author for correspondence.
Email: nmuril@yandex.ru
ORCID iD: 0000-0001-5753-8926
Dr. Sci (Med.), Professor
Россия, Moscow; MoscowSemen S. Alekseev
S.P. Botkin Moscow City Clinical Hospital
Email: semen.alekseev.92@mail.ru
ORCID iD: 0000-0001-7599-7472
Cand. Sci. (Med.)
Россия, MoscowGrigory A. Kukovenko
I.M. Sechenov First Moscow State Medical University (Sechenov University); S.P. Botkin Moscow City Clinical Hospital
Email: gkukovenko@gmail.com
ORCID iD: 0000-0001-6700-0222
Cand. Sci. (Med.)
Россия, Moscow; MoscowPavel M. Elizarov
I.M. Sechenov First Moscow State Medical University (Sechenov University); S.P. Botkin Moscow City Clinical Hospital
Email: elizarov_07@mail.ru
ORCID iD: 0000-0002-0217-2434
Cand. Sci. (Med.)
Россия, Moscow; MoscowDmitriy O. Golubkin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: dima.golubkin02@yandex.ru
ORCID iD: 0000-0003-3293-0918
SPIN-code: 9844-1389
Россия, Moscow
Aleksey V. Muzychenkov
I.M. Sechenov First Moscow State Medical University (Sechenov University); S.P. Botkin Moscow City Clinical Hospital
Email: amuzychenkov@inbox.ru
ORCID iD: 0000-0002-3933-672X
Cand. Sci. (Med.)
Россия, Moscow; MoscowReferences
- Дроздов С.Г., Иванова О.Е. Полиомиелит. Вопросы вирусологии. 2013;(1):76-90. Drozdov S.G., Ivanova O.E. Poliomyelitis. Problems of Virology. 2013;(1):76-90. (In Russian).
- Prasad A., Donovan R., Ramachandran M., Dawson-Bowling S., Millington S., Bhumbra R. et al. Outcome of total knee arthroplasty in patients with poliomyelitis: A systematic review. EFORT Open Rev. 2018 (6):358-362. doi: 10.1302/2058-5241.3.170028.
- Compston A. Aids to the investigation of peripheral nerve injuries. Medical Research Council: Nerve Injuries Research Committee. His Majesty’s Stationery Office: 1942; pp. 48 (iii) and 74 figures and 7 diagrams; with aids to the examination of the peripheral nervous system. By Michael O’Brien for the Guarantors of Brain. Saunders Elsevier: 2010; pp. [8] 64 and 94 Figures. Brain. 2010;133(10):2838-2844. doi: 10.1093/brain/awq270.
- Иржанский А.А., Куляба Т.А., Корнилов Н.Н. Валидация и культурная адаптация шкал оценки исходов заболеваний, повреждений и результатов лечения коленного сустава WOMAC, KSS и FJS-12. Травматология и ортопедия России. 2018;24(2):70-79. doi: 10.21823/2311-2905-2018-24-2-70-79. Irzhanski A.A., Kulyaba T.A., Kornilov N.N. Validation and cross-cultural adaptation of Rating Systems WOMAC, KSS and FJS-12 in patients with knee disorders and Injuries. Traumatology and Orthopedics of Russia. 2018;24(2):70-79. (In Russian). doi: 10.21823/2311-2905-2018-24-2-70-79.
- Patterson B.M., Insall J.N. Surgical management of gonarthrosis in patients with poliomyelitis. J Arthroplasty. 1992; (7) Suppl:419-426. doi: 10.1016/s0883-5403(07)80034-9.
- Moran M.C. Functional loss after total knee arthroplasty for poliomyelitis. Clin Orthop Relat Res. 1996;(323): 243-246. doi: 10.1097/00003086-199602000-00033.
- Jordan L., Kligman M., Sculco T.P. Total knee arthroplasty in patients with poliomyelitis. J Arthroplasty. 2007;22(4):543-548. doi: 10.1016/j.arth.2006.03.013.
- Tigani D., Fosco M., Amendola L., Boriani L. Total knee arthroplasty in patients with poliomyelitis. Knee. 2009;16(6):501-506. doi: 10.1016/j.knee.2009.04.004.
- Rahman J., Hanna S.A., Kayani B., Miles J., Pollock R.C., Skinner J.A. et al. Custom rotating hinge total knee arthroplasty in patients with poliomyelitis affected limbs. Int Orthop. 2015;39(5):833-838. doi: 10.1007/s00264-014-2572-y.
- Mullaji A., Lingaraju A.P., Shetty G.M. Computer-assisted total knee replacement in patients with arthritis and a recurvatum deformity. J Bone Joint Surg Br. 2012; 94(5):642-647. doi: 10.1302/0301-620X.94B5.27211.
- Krackow K.A., Weiss A.P. Recurvatum deformity complicating performance of total knee arthroplasty. A brief note. J Bone Joint Surg Am. 1990;72(2):268-271.
- Barrack R.L. Evolution of the rotating hinge for complex total knee arthroplasty. Clin Orthop Relat Res. 2001;(392):292-299. doi: 10.1097/00003086-200111000-00038.
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