Document Detail


Outcome analysis of total knee-replacements in patients with rheumatoid arthritis versus osteoarthritis.
MedLine Citation:
PMID:  8588964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 524 knees underwent a primary PCA knee arthroplasty between 1982 and 1989. Of these 415 suffered from osteoarthritis (OA) and 61 from rheumatoid arthritis (RA). They were analyzed for differences regarding the outcome. Neither survivorship analysis nor number or type of revisions revealed statistical differences among these two groups. The knee score rose in the OA group from a median of 28 to 89 points after 1 year and then dropped to 87 points between 54 and 118 months. In the RA group the median of the knee score rose from a preoperative value of 21 points to 90 points after 1 year but then dropped to 77 points at the most recent follow-up. This development was probably the result of general progression of the disease. Even in the RA group the rating was still "good" at the latest follow-up. Regarding the benefit of such a procedure in a polyarticular disease and its preservation over a long period of time, total knee arthroplasty can be recommended for patients with RA, and preferably the cemented version.
Authors:
R Elke; G Meier; K Warnke; E Morscher
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  114     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  1995  
Date Detail:
Created Date:  1996-03-25     Completed Date:  1996-03-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  330-4     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, University Hospital Basel, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid / physiopathology,  surgery*
Female
Humans
Knee Prosthesis*
Length of Stay
Male
Middle Aged
Osteoarthritis / physiopathology,  surgery*
Range of Motion, Articular

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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