Diagnostic Algorithm in Patients with Flexion Instability after Cruciate-Retaining Total Knee Arthroplasty: A Case Report
| Autor: | Silvan Hess, Ponnaian Prabhakar, Lukas B. Moser, Michael T. Hirschmann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Medicine (General) total knee arthroplasty Radiography Total knee arthroplasty Physical examination Case Report R5-920 medicine In patient posterior cruciate ligament cruciate retaining total knee replacement medicine.diagnostic_test business.industry Stress radiography General Medicine Cruciate retaining musculoskeletal system medicine.anatomical_structure surgical procedures operative PCL Posterior cruciate ligament Tracer uptake business Algorithm |
| Zdroj: | Clinics and Practice Clinics and Practice, Vol 11, Iss 84, Pp 687-693 (2021) |
| ISSN: | 2039-7283 2039-7275 |
| Popis: | A posterior flexion instability due to insufficiency of the posterior cruciate ligament (PCL) in cruciate retaining (CR) total knee arthroplasty (TKA) is an important but underdiagnosed problem. We hereby suggest a diagnostic algorithm, as demonstrated by a case report of a male patient suffering from anterior knee pain and instability after CR TKA. Clinical examination was followed by standard anterior–posterior and lateral radiographs. Stress radiographs in 30° and 90° posterior drawer position enabled a dynamic examination of the instability. SPECT/CT was used to determine the TKA component position in all planes and investigate bone tracer uptake (BTU) patterns. At revision surgery, an absent PCL after CR TKA was noted and a semi-constrained TKA was implanted. |
| Databáze: | OpenAIRE |
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