roberts conference july 21, 2005. history 64 year old male 6 yrs s/p left knee arthrodesis...
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![Page 1: Roberts Conference July 21, 2005. History 64 year old male 6 yrs s/p Left Knee Arthrodesis following TKA Significantly short on affected side](https://reader035.vdocument.in/reader035/viewer/2022081603/56649ca25503460f94961435/html5/thumbnails/1.jpg)
Roberts Conference
July 21, 2005
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History
64 year old male 6 yrs s/p Left Knee Arthrodesis following
TKA Significantly short on affected side
2 falls resulting in Hip Fractures
Successful TKA on Right
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Operative Planning
Patient Requesting TKA
ESR, CRP and WBC all Normal
No Swelling or external evidence of infection
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Conversion Athrodesis to TKA Kreder et. al: 18 knees 28% failure (infection,
component failure) Cameron and Hu: 17 knees 53% failure (tibial
component loosening, ligamentous laxity, quad rupture, wound breakdown, repeat athrodesis)
Kim et. al: 30 knees 53% failure; mean flexion 75 deg, 9 deg extension deficit
Henkel et. al: 7 knees 29% failure; 71% re-operation; most with increased pain on walking
Warner: Three phase “Judet quadricepsplasty” to mobilize extensor mechanism.
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Holden DL, Jackson DW. Considerations in total knee arthroplasty following previous knee fusion. Clin Orthop.1988; 227:223 -8.
Kreder HJ, Williams JI, Jaglal S, Axcell T, Stephen D. A population study in the Province of Ontario of the complications after conversion of hip or knee arthrodesis to total joint replacement. Can J Surg.1999; 42:433 -9.
Bradley GW, Freeman MA, Albrektsson BE. Total prosthetic replacement of ankylosed knees. J Arthroplasty. 1987;2:179 -83.
Cameron HU. Role of total knee replacement in failed knee fusions. Can J Surg.1987; 30:25 -7.
Naranja RJ Jr, Lotke PA, Pagnano MW, Hanssen AD. Total knee arthroplasty in a previously ankylosed or arthrodesed knee. Clin Orthop. 1996;331 : 234-7.
Henkel TR, Boldt JG, Drobny TK, Munzinger UK. Total knee arthroplasty after formal knee fusion using unconstrained and semiconstrained components: a report of 7 cases. J Arthroplasty.2001; 16:768 -76.
Cameron HU, Hu C. Results of total knee arthroplasty following takedown of formal knee fusion. J Arthroplasty. 1996;11:732 -7.
Warner JP. The Judet quadricepsplasty for management of severe posttraumatic extension contracture of the knee. A report of a bilateral case and review of the literature. Clin Orthop.1990; 256:169 -73.