medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 3

<< Back Next >>

Acta Ortop Mex 2014; 28 (3)

Total knee replacement due to grade IV gonarthrosis

Salvatori-Rubí J, Montiel-Jarquín AJ, López-Cázares G, Barragán-Hervella R, Ortíz-Arellano R, García-Carrasco M, Mendoza-Pinto C

Language: Spanish
References: 17
Page: 193-196
PDF size: 133.05 Kb.


ABSTRACT

Objective: To describe the clinical evolution of patients with total knee replacement surgery due to grade IV gonarthrosis secondary to varus angular deformity. Material and methods: A descriptive trial where we included patients who underwent total knee arthroplasty due to gonarthrosis secondary to varus angular deformity. We used the following variables, sex, age, affected side, type of approach, type of prosthesis, type of gait post-surgically, infection, vascular status, post-surgical pain, rejection of prosthetic material, varus-flection angular deformity pre and post-surgically. Results: We reviewed 13 files, 69.2% men and 30.8% women, the mean age was 72.38, minimum 56, maximum 82, DE 7.11 years. Six (46.2%) left knees and 7 (53.8%) right knees. All patients had a medial parapatellar approach and bone balancing, 23.1% had ligament balancing; 7.6% had a total knee replacement stabilized posteriorly and 93.3% not stabilized posteriorly; 1 (7.6%) patient had infection, none had vascular involvement, 76.9% had to walk with a cane, 15.4% walked on their own and 7.6% had no gait. The average grade of the angular deformity pre-surgery was 15.77 and the average post-surgery was less than or equal to 5o, the difference of average grades pre and post-surgery was 36.719 and in flection 0.439, p= 0.00 and p= 0.669 respectively (paired t). Conclusion: We can conclude that the clinical evolution of patients with gonarthrosis secondary to varus angular deformity who underwent TKA is good, complications are similar to those in the literature.


REFERENCES

  1. Esrafilian A, Taghi Karimi M, Eshraghi A: Design and evaluation of a new type of knee orthosis to align the mediolateral angle of the knee joint with osteoarthritis. Advances in Orthop. 2012, ID 104927.

  2. García-Juárez A: Gonartrosis en pacientes jóvenes. Med Int Mex. 2007; 23: 78-81.

  3. Meza-Aguayo JR, Ayala-Sierra JA: Evolución clínica de la artroplastía total de rodilla de revisión: presentación de casos y revisión de la literatura. Rev Med Hondur. 2008; 76(2): 70-3.

  4. Carr JA, Robertsson O, Graves S, et al: Knee replacement. Lancet. 2012; 379: 1331-40.

  5. Zanasi S: Innovations in total knee replacement: new trends in operative treatment and changes in peri-operative management. Eur Orthop Traumatol. 2011; 2(1-2): 21-31.

  6. Pereira-López M: Osteotomía valguizante en v invertida para la corrección del genu varum con artrosis unicompartimental de rodilla. Ann Fac Cienc Med. 2010; 43(2): 31-42.

  7. Saragaglia D, Mercier N, Pierre-EC: Computer-assisted osteotomies for genu varum deformity: which osteotomy for which varus? Int Orthop. 2010; 34: 185-90.

  8. Robinson PM, Papanna MC, Somanchi BV, Khan SA: High tibial osteotomy in medial compartment osteoarthritis and varus deformity using the Taylor spatial frame: early results. Strategies Trauma Limb Reconstr. 2011; 6(3): 137-45.

  9. Benzakour T, Hefti A, Lemseffer M, El Ahmadi JD, Bouyarmane H, Benzakour A: High tibial osteotomy for medial osteoarthritis of the knee: 15 years follow-up. Int Orthop. 2010; 34(2): 209-15.

  10. Del Sel H, Viale G, Del Sel G, Vilaseca T: Reemplazo total de rodilla luego de una osteotomía supracondílea femoral. Rev Asoc Argent Ortop Traumatol. 2009; 74: 214-9.

  11. Kilincoglu V, Unay K, Akan K, Esenkaya I, Poyanli O: Component alignment in simultaneous bilateral or unilateral total knee arthroplasty. Int Orthop. 2011; 35(1): 43-6.

  12. Neyret P, Lustig S, Guyen O, Si Selmi A: Total knee replacement in severe genu varum deformity. Interactive Surgery. 2008; 3(1): 6-12.

  13. Amendola L, Fosco M, Cenni E, Tigani D: Knee joint arthroplasty after tibial osteotomy. Int Orthop. 2010; 34(2): 289-95.

  14. Lerat JL, Godeneche A, Moyen B, Besse JL: Total knee replacement in the valgus knee. Osteoarthritis of the knee. 2008; 285-313.

  15. Amenábar PP, Carrión M, Apablaza D, Paulos JL: Artroplastía total de rodilla en pacientes con artritis reumatoide. Rev Med Chile. 2004; 132(3): 337-45.

  16. C-Hsiang H, Po-Chun L, W-Schen C, et al: Total knee arthroplasty in patients with stiff knees. J Arthroplasty. 2012; 27(2): 286-92.

  17. Arno M, Maffei B, Walker. Retrospective analysis of total knee arthroplasty cases for visual, histological, and clinical eligibility of unicompartmental knee arthroplasties. J Arthroplasty. 2011; 26(8): 1396-403.




2020     |     www.medigraphic.com