Total knee reconstruction without posterior stabilization in rheumatoid arthritis patients

Autor: Radu Prejbeanu, Ioan D.A.Nemeş, Horia Vermeşan, Dan V. Poenaru, Dinu Vermeşan, Mihai Drăgoi, Elena Amaricăi, Daniel Popa, Liliana Catan, Roxana Onofrei, George Puenea
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Timisoara Physical Education and Rehabilitation Journal, Vol 3, Iss 5, Pp 33-40 (2010)
ISSN: 2065-0574
Popis: Objectives: to present the results with posterior cruciate ligament-retaining total knee arthroplasty in rheumatoid arthritis (RA) patients. Background: Total knee replacement in RA patients has many particularities. One of them is the difficulty of obtaining a proper ligamentous balance.Methods: 24 RA patients were followed for a 5-year period after posterior cruciate ligament-retaining total knee arthroplasty. Clinical assessments analyzed general health status by using Hospital for Special Surgery Knee Evaluation Form (HSSKEF) and mediolateral and anteroposterior ligament stability by using varus-valgus and posterior drawer tests. Radiological assessments evaluated axial alignment, size and position of components, radiolucent lines in anteroposterior and lateral standard views, integrity of the posterior cruciate ligament on lateral view X-ray at 45 degrees of flexion.Results: the mean HSSKEF score increased from 32 to 84 points at the end of follow-up. Preoperative mean range of motion was 60 degrees; postoperative mean range of motion was of 105 degrees, with significant statistical difference (p
Databáze: OpenAIRE