Bilateral Total Knee Arthroplasties in a Patient with Bilateral Below-Knee Amputations and Osseointegration Limb Replacements: A Case Report.
| Autor: | Al Badi H; Jo Miller Orthopaedic Research Laboratory Division of Orthopaedic Surgery, Montreal General Hospital, McGill University, Montreal, QC, Canada., Tanzer M, Turcotte R, Hart A |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2024 Apr 12; Vol. 14 (2). Date of Electronic Publication: 2024 Apr 12 (Print Publication: 2024). |
| DOI: | e23.00551 |
| Abstrakt: | Case: A 38-year-old man with congenital pain insensitivity underwent bilateral below-knee amputations. After his subsequent bilateral osseointegration (OI) limb replacements, he rapidly developed severe bilateral knee arthritis and varus deformity. In lieu of performing bilateral above-knee amputations, he underwent bilateral staged total knee arthroplasties (TKA) with excellent clinical and radiographic evaluation at 1-year follow-up. Conclusion: To address both the limited bone stock and OI implant stem location, TKA after OI limb replacement in congenital pain insensitivity patients can be successfully achieved with a nonkeeled cementless tibial component and augmentation with a tibial cone. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C316). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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