CASE
REPORT
Bilateral total knee arthroplasty
after spontaneous osseous ankylosis in rheumatoid arthritis
Tomohiro Ojima1 , Akio
Yokogawa1, Kotaro Yamakado1, Kyoichi
Ogawa1, Takashi Kobayashi2, Akikatsu
Nakashima3 and Haruhiko Ogawa3
Full
Text (PDF)
| (1) |
Department of Orthopaedic
Surgery, Saiseikai Kanazawa Hospital, Ni-13-6
Akatsuchi-machi, Kanazawa 920-0353, Japan |
| (2) |
Department of Orthopaedic
Surgery, Hokuriku Hospital, Kanazawa, Japan |
| (3) |
Department of Internal
Medicine, Saiseikai Kanazawa Hospital, Kanazawa,
Japan |
Received: 26 July
2004 Accepted: 12 January 2005
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.
Key
words Rheumatoid arthritis (RA) - Spontaneous
bony ankylosis - Total knee arthroplasty (TKA)
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