Complicated Cases of Knee Arthroplasty



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Abstract

Experience in treatment of 190 patients (mean age 61 years) with marked (> 15°) knee deformity due to various pathology (idiopathic gonarthrosis, rheumatoid arthritis, posttraumatic gonarthrosis) is presented. In 19 cases revision interventions for aseptic instability of implant were performed. In all cases «Smith & Nephew» RT-PLUS system of either standard or modular modification was used. In 183 (96.3%) cases satisfactory results were noted: steady remission of chronic pain syndrome was achieved, limb axis, joint mobility and weight bearing ability were restored, conditions for early loading and mobilization were provided. All that promoted the improvement of patients’ life quality. Complications included 1 case of periprosthetic fracture, 5 cases of deep purulent inflammation 2 of which required implant removal with creation of arthrodesis in functionally favorable position, and 3 cases of arthrofibrosis. As a whole the achieved results enable to recommend the use of RT-PLUS system in complicated cases of arthroplasty.

About the authors

N. V Zagorodniy

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

S. V Kagramanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

O. A Kudinov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

I. A Nikolaev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: ilya-nikolaev@mail.ru

G. A Chragyan

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

A. V Ivanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

I. D Kilasoniya

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

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