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Journal of Long-Term Effects of Medical Implants

Publicou 4 edições por ano

ISSN Imprimir: 1050-6934

ISSN On-line: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Outcomes of Implant-Arthrodesis as Limb Salvage for Failed Total Knee Arthroplasties with Significant Bone Loss: Case Series

Volume 28, Edição 4, 2018, pp. 347-353
DOI: 10.1615/JLongTermEffMedImplants.2019030369
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Hosam E. Matar
Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham NG5 1PB, UK; Sunnybrook Holland Centre, University of Toronto, Toronto, Canada
Paula Stritch
Surgical Care Practitioner, Department of Trauma and Orthopaedics, Whiston Hospital, Prescot L35 5DR
Nicholas Emms
Consultant Trauma and Orthopaedic Surgeon, Department of Trauma and Orthopaedics, Whiston Hospital, Prescot L35 5DR UK; Consultant and Surgeon for Hip and Knee Arthroplasty, Whiston Hospital, Prescot L35 5DR, United Kingdom

RESUMO

Purpose: We sought to evaluate our consecutive series of knee-implant arthrodesis patients for failed total knee arthroplasties with medium term clinical and radiographic outcomes. Methods: We conducted a retrospective review of a consecutive series of 4 patients (average age, 75 years; range, 69–79) with failed knee arthroplasties and deficient extensor mechanism who underwent implant arthrodesis with a minimum 2-year follow-up. The primary outcome measure was the patient's reported outcome measures (Short-Form 12) and visual analogue scale for knee pain at final follow-up. Results: All patients had multiple medical comorbidities, multiple previous knee surgeries with failed nonfunctional knee arthroplasties. Three patients had chronic infections and one had chronic pain and instability, and all had deficient extensor mechanism. Average follow-up was 5.5 years (range, 2–8), and the primary goal of surgery was achieved in all four patients. The average VAS score for knee pain was 3 of 10, and SF-12 was 36.16 (physical score) and 55.70 (mental score), indicating satisfactory outcomes. Conclusion: Satisfactory clinical and patient-reported outcomes can be achieved with implant arthrodesis as limb salvage for failed total knee arthroplasties with significant bone loss at medium-term follow-up.

Palavras-chave: Implant knee arthrodesis, failed knee arthroplasty, infection, clinical outcomes
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CITADO POR

  1. Suda Arnold J., Brachtendorf Xaver, Tinelli Marco, Wagokh Raed, Abou-Nouar Ghaith, Bischel Oliver E., Low complication rate and better results for intramedullary nail - arthrodesis for infected knee joints compared to external fixator—a series of one hundred fifty two patients, International Orthopaedics, 45, 7, 2021. Crossref

  2. Matar Hosam E., Bloch Benjamin V., Cameron Hugh U., James Peter J., Salvage Revision Total Knee Arthroplasty, in Revision Total Knee Arthroplasty, 2021. Crossref

  3. Matar Hosam E., Bloch Benjamin V., James Peter J., Outcomes of Salvage Endoprostheses in Revision Total Knee Arthroplasty for Infection and Aseptic Loosening: Experience of a Specialist Centre, The Knee, 29, 2021. Crossref

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