| Joint replacement in non-ambulatory patients. | |
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MedLine Citation:
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PMID: 479236 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We treated eighteen non-ambulatory patients by multiple operations consisting of total replacement of the hip or the knee, or both. Thirteen patients had rheumatoid arthritis, four had degenerative arthritis, and one had had bilateral resection of the femoral head and neck. The patients were followed for an average of forty months. We devised a classification based on the number of joints involved and a rating scale for function. Good to excellent results were achieved in the patients who had two or three joints operated on (with one exception). Fifteen patients became ambulatory and seven could climb stairs. Seven patients were pain-free. The factors responsible for poor results were significant neural problems and loss of motivation. The presence of severe upper-extremity involvement was not an obstacle preventing walking. |
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Authors:
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R P Arafiles; R B Gustilo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 61 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1979 Sep |
Date Detail:
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Created Date: 1979-11-21 Completed Date: 1979-11-21 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 892-7 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthritis, Rheumatoid / diagnosis, surgery Child Child, Preschool Female Hip Joint / surgery* Hip Prosthesis* Humans Knee Joint / surgery* Knee Prosthesis* Locomotion* Male Osteoarthritis / surgery Pain Postoperative Complications Preoperative Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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