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One-Stage Total Knee Arthroplasty With Pre-Existing Fracture Deformity: Post-Fracture Total Knee Arthroplasty

Authors
Journal
The Journal of Arthroplasty
0883-5403
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.arth.2014.07.007
Keywords
  • Primary Arthroplasty
  • Rotating-Hinge Implant
  • Secondary Osteoarthritis
  • Tibia Fracture
  • Femur Fracture
  • Knee Arthritis
Disciplines
  • Medicine

Abstract

Abstract The aim of the study was to assess the results of treating knee osteoarthrosis with total knee arthroplasty (TKA) after previous tibia and/or femur fractures resulting in axial limb deformities. Thirty-six knees (34 patients) were operated on. At the most recent follow-up, 4.8years after surgery, all but one patient demonstrated an improvement in both clinical and functional KSS. This male patient required revision after 2years. Improved range of motion was generally noted, especially extension, however, two patients with both tibia and femur fractures had worse results. TKA is an effective method of treatment for patients with arthrosis after a previous femur or tibia fractures. When deformity is severe semi-constrained or constrained, implants with extensions may be necessary.

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