Total knee arthroplasty in patients with prior ipsilateral hip arthrodesis

Total knee arthroplasty in patients with prior ipsilateral hip arthrodesis Only a few articles based on the management of symptomatic knee osteoarthritis in patients with prior ipsilateral hip arthrodesis have been reported, and there are no clear criteria for the best treatment option [to carry out a total knee arthroplasty (TKA)—or to take down the hip fusion and conversion to a total hip arthroplasty—THA, and after that to carry out the TKA]. We report two cases, a 72-year-old male who underwent a left hip arthrodesis at 28 because of a trauma and a 51-year-old woman who underwent a left hip arthrodesis at 9 years because of a congenital dislocation. They presented severe ipsilateral symptomatic knee osteoarthritis. Once the cases were studied and the two therapeutic possibilities were evaluated, we decided to perform TKA. Currently, both patients have no pain, a stable knee with good range of motion and without aseptic loosening radiologic criteria. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Orthopaedic Surgery & Traumatology Springer Journals

Total knee arthroplasty in patients with prior ipsilateral hip arthrodesis

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Publisher
Springer Paris
Copyright
Copyright © 2017 by Springer-Verlag France SAS
Subject
Medicine & Public Health; Surgical Orthopedics; Traumatic Surgery
ISSN
1633-8065
eISSN
1432-1068
D.O.I.
10.1007/s00590-017-2070-1
Publisher site
See Article on Publisher Site

Abstract

Only a few articles based on the management of symptomatic knee osteoarthritis in patients with prior ipsilateral hip arthrodesis have been reported, and there are no clear criteria for the best treatment option [to carry out a total knee arthroplasty (TKA)—or to take down the hip fusion and conversion to a total hip arthroplasty—THA, and after that to carry out the TKA]. We report two cases, a 72-year-old male who underwent a left hip arthrodesis at 28 because of a trauma and a 51-year-old woman who underwent a left hip arthrodesis at 9 years because of a congenital dislocation. They presented severe ipsilateral symptomatic knee osteoarthritis. Once the cases were studied and the two therapeutic possibilities were evaluated, we decided to perform TKA. Currently, both patients have no pain, a stable knee with good range of motion and without aseptic loosening radiologic criteria.

Journal

European Journal of Orthopaedic Surgery & TraumatologySpringer Journals

Published: Oct 27, 2017

References

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