Knee Rheumatoid Arthritis With Lateral Tibial Plateau and Tibial Stress Fractures Managed With One-Stage Knee Joint Replacement
| Autor: | Jacqueline Thompson, Ahmed Saeed Younis, Amr Amal Amin, Wael Samir Osman, Mahmoud El-sebai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Joint replacement medicine.medical_treatment Lateral tibial plateau 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery Tibial plateau fracture Case report medicine Orthopedics and Sports Medicine 030212 general & internal medicine Rheumatoid arthritis 030222 orthopedics Stress fractures business.industry medicine.disease Arthroplasty Surgery lcsh:RD701-811 medicine.anatomical_structure Knee joint replacement Ligament business Stress fracture |
| Zdroj: | Arthroplasty Today, Vol 6, Iss 3, Pp 487-491 (2020) Arthroplasty Today |
| ISSN: | 2352-3441 |
| Popis: | Rheumatoid arthritis (RA) is a chronic systemic disease that causes progressive joint damage, bony defects, and ligament imbalance. These sequelae of RA present major difficulties to surgeons during hip or knee arthroplasty. The presence of coexistent periarticular fractures adds to these difficulties and represents a surgical dilemma. No guidance exists within the literature for the medical and surgical management of complicated cases of RA with coexistent fractures. So far, the evidence has focused on fixation techniques, arthroplasty, and conservative management for periarticular fractures of osteoarthritic joints without significant degeneration of anatomical structures. We report a case of advanced knee RA with associated ipsilateral tibial plateau fracture and a tibial shaft stress fracture that was treated successfully with a single-stage joint replacement procedure. The case study presents a well-planned, single-stage arthroplasty with a lateral parapatellar approach as a management option that allows for early weight-bearing and restoration of function and provides a detailed guide for surgeons when managing similar cases. |
| Databáze: | OpenAIRE |
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