Total knee arthroplasty treatment of rheumatoid arthritis with severe versus moderate flexion contracture

Journal of Orthopaedic Surgery and Research

Fuxing Pei¹  Jing Yang¹  Denglu Yan¹ 

[1] West China Hospital, Sichuan University, Chengdu 610065, China

关键词: Treatment;    Flexion contracture;    Rheumatoid arthritis;    Total knee arthroplasty;   

Others  :  814346
DOI  :  10.1186/1749-799X-8-41

 received in 2013-08-03, accepted in 2013-11-04,  发布年份 2013

【 摘 要 】

Background

This study aims to explore the technique of soft tissue balance and joint tension maintenance in total knee arthroplasty (TKA) for the rheumatoid arthritis (RA) patients with flexion contracture of the knee.

Methods

This retrospective study reviewed flexion contracture deformity of RA patients who underwent primary TKA and ligament and soft tissue balancing. Based on the flexion contracture deformity, the remaining 76 patients available for analysis were divided into two groups, i.e., severe flexion group (SF) and moderate flexion group (MF).

Results

There were no intraoperative complications in this study. All patients had improved Knee Society Rating System scores and range of motion. The flexion contracture was completely corrected in MF and SF patients. There were no cases of patellar dislocation, but three cases had mild mediolateral instability in severe flexion group. Four knees (two knees in SF versus two knees in MF) had transient peroneal nerve palsy but recovered after conservative therapy.

Conclusions

TKA can be performed successfully in the RA knees with severe flexion contracture. It is very important in TKA to maintain the joint stability in the condition of severe flexion contracture deformity of the RA knee.

【 授权许可】

   
2013 Yan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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