Total knee arthroplasty in achondroplasia without deformity correction: A case report with 11 years' follow-up
| Autor: | Gilles Udin, Hermès Howard Miozzari, Matteo Manlio Pierpaolo Regusci, Xavier Bayle-Iniguez |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Total knee arthroplasty Deformity correction Osteoarthritis Achondroplasia Arthroplasty 03 medical and health sciences 0302 clinical medicine Limb deformity Deformity Medicine Orthopedics and Sports Medicine Knee Alignment 030222 orthopedics ddc:617 business.industry 030229 sport sciences medicine.disease musculoskeletal system Surgery Concomitant medicine.symptom business Oxford knee score |
| Zdroj: | The Knee, Vol. 27, No 3 (2020) pp. 740-746 |
| ISSN: | 0968-0160 |
| Popis: | Knee osteoarthritis in patients with achondroplasia is rare. Bowleg deformity is typical but corrective surgery is limited. Thus, primary total knee arthroplasty (TKA) might be challenging due to the particular anatomy. We report on a patient with 11 year's follow-up after a TKA performed maintaining bowleg alignment, using a posterior stabilized, fixed-bearing design. Sequential X-rays showed radiolucencies on the femoral component within two years postoperatively, slightly increasing over time but stable at last follow-up. The Oxford Knee Score showed an excellent result at 11 years. Despite the peculiarities of a case report, TKA without concomitant osteotomies might be an option for such patients. Nevertheless, a thorough discussion about pros and cons is paramount. |
| Databáze: | OpenAIRE |
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