TOTAL KNEE ARTHROPLASTY AFTER PROXIMAL TIBIA FRACTURE

封面


如何引用文章

全文:

详细

We have analyzed the results of 32 TKA of 32 patients after fractures of the proximal tibia, which were operated in the period from 2011 to 2014. We have used intramedullary stems for tibial component in 28% of cases, CCK implants in 15.6% of cases, metal augments for bone defects in 25%, in 59.4% of cases autologous bone, cementation for minor defects was performed in 68.8% of patients. 12 of 32 (37.5%) operations were performed under the control of computer navigation (Orthopilot). Average KOOS score one year after the operation in subscales was as follows: "pain" - 86.1 (69,4-97,2), "daily physical activity" - 80,8 (57,4-92,6), "symptoms and stiffness "- 67,8 (57,1-85,7)," physical activity in sports"- 30,0 (5,0-70,0)," quality of life "- 50.0 (37,5- 81.3). The average ROM after the operation was as follows: flexion 100 degrees (90-120), extension 0 degrees (0-5), which corresponds to good and excellent results. There was only one case (3.1%) of septic instability, requiring a two-stage revisional surgery by articulating spacer. All the patients after surgery had a significant improvement of joint function and reduction of pain. However, these patients are at risk for postoperative complications and require a special approach when performing arthroplasty. Treatment outcomes are due to the restoration of axial and rotational alignment, normalization of the joint line by the use of augments, elimination of instability in the joint by application of CCK implants.

作者简介

E. Malyshev

Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia

编辑信件的主要联系方式.
Email: eugenemal@yandex.ru
associate professor of the department of traumatology, orthopedics and field surgery 俄罗斯联邦

D. Pavlov

Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russia, Privolzhsky Federal Medical Research Centre, Nizhny Novgorod, Russia

Email: fake@neicon.ru
head of traumatological and orthopaedic department 俄罗斯联邦

R. Gorbatov

Privolzhsky Federal Medical Research Centre, Nizhny Novgorod, Russia

Email: fake@neicon.ru
researcher of laboratory of additive technologies 俄罗斯联邦

参考

  1. Воронкевич И.А., Тихилов P.M. Внутрисуставные остеотомии по поводу последствий переломов мыщелков большеберцовой кости. Травматология и ортопедия России. 2010; (3):87-91.
  2. Корнилов Н.Н., Куляба Т.А. Артропластика коленного сустава. СПб.; 2012. 228 с.
  3. Тихилов Т.Р., Корнилов Н.Н., Куляба Т.А., Сараев А.В., Игнатенко В.Л. Современные тенденции в ортопедии: артропластика коленного сустава. Травматология и ортопедия России. 2012; (2):5-15.
  4. Blom A.W., Brown J., Taylor A.H. et al. Infection after total knee arthroplasty. J Bone Joint Surg Br. 2004; 86(5):688-691.
  5. Haidukewych G.J., Springer B.D., Jacofsky D.J., Berry D.J. Total knee arthroplasty for salvage of failed internal fixation or nonunion of the distal femur. J Arthroplasty. 2005; 20:344-349.
  6. Lunebourg A., Parratte S., Ollivier M., Garcia-Parra K., Argenson J. Lower function, quality of life, and survival rate after total knee arthroplasty for posttraumatic arthritis than for primary arthritis. Acta Orthop. 2015; 86(2):189-194
  7. Massin P., Bonnin M., Parratte S., Vargas R., Piriou P., Deschamps G. French Hip Knee Society (SFHG). Total knee replacement in post-traumatic arthritic knees with limitation of flexion. Orthop Traumatol Surg Res. 2011; 97:28-33.
  8. Morag G., Kulidjian A., Zalzal P., Shasha N., Gross A.E., Backstein D. Total knee replacement in previous recipients of fresh osteochondral allograft transplants. J Bone Joint Surg. Am. 2006; 88:541-546.
  9. Papagelopoulos P.J., Karachalios T., Themistocleous G.S., Papadopoulos E.C., Savvidou O.D., Rand J.A. Total knee arthroplasty in patients with pre-existing fracture deformity. Orthopedics. 2007; 30:373-378.
  10. Peersman G., Laskin R., Davis J., Peterson M. Infection in total knee replacement: a retrospective review of 6489 total knee replacements. Clin Orthop Relat Res. 2001; 92:15-23.
  11. Phillips C.B., Barrett J.A., Losina E. et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J Bone Joint Surg Am. 2003; 85 (1):20-26
  12. Phillips J.E., Crane T.P., Noy M. et al. The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey. J Bone Joint Surg Br. 2006; 88:943-948
  13. Rademakers M.V., Kerkhoffs G.M., Sierevelt I.N., Raaymakers E.L., Marti R.K. Operative treatment of 109 tibial plateau fractures: five- to 27-year follow-up results. J Orthop Trauma. 2007;21:5-10.
  14. Schenker M.L., Mauck R.L., Ahn J., Mehta S. Pathogenesis and prevention of posttraumatic osteoarthritis after intraarticular fracture. J Am Acad Orthop Surg. 2014; 22:20-28.
  15. Soo Hoo N.F., Lieberman J.R., Ko C.Y., Zingmond D.S. Factors predicting complication rates following total knee replacement. J Bone Joint Surg Am. 2006; 88 (3):480-485
  16. Wu LD, Xiong Y, Yan S G, Yang QS. Total knee replacement for posttraumatic degenerative arthritis of the knee. Chin J Traumatol. 2005; 8:195-199.

补充文件

附件文件
动作
1. JATS XML

版权所有 © , 2016



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


##common.cookie##