Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis

Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis

Abstract Total knee arthroplasty (TKA) was carried out on both knee joints for spontaneous bony ankylosis due to rheumatoid arthritis (RA). Preoperative fixation angles were 40°. First, the peroneal nerve was released prior to TKA. Quadriceps snip was performed to evert the patella laterally. Bilate...

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Bibliographic Details
Published in:Modern rheumatology Vol. 15; no. 2; pp. 139 - 143
Main Authors: Ojima, Tomohiro, Yokogawa, Akio, Yamakado, Kotaro, Ogawa, Kyoichi, Kobayashi, Takashi, Nakashima, Akikatsu, Ogawa, Haruhiko
Format: Journal Article
Language:English
Published: United States Informa Healthcare 01-06-2005
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Summary:Abstract Total knee arthroplasty (TKA) was carried out on both knee joints for spontaneous bony ankylosis due to rheumatoid arthritis (RA). Preoperative fixation angles were 40°. First, the peroneal nerve was released prior to TKA. Quadriceps snip was performed to evert the patella laterally. Bilateral TKAs were carried out using a stabilized prosthesis. The results showed full extension to 70° flexion at 3 years after the surgery. Absence of pain, maintenance of stability, and walking ability were achieved, without any significant complication. Total knee arthroplasty following takedown of a spontaneous ankylosed knee is an effective procedure under appropriate knee conditions.
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ISSN:1439-7595
1439-7609
DOI:10.3109/s10165-005-0380-3