Document Detail


Revision of failed metal-backed patellar component of Miller/Galante-I total knee prosthesis.
MedLine Citation:
PMID:  11180899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 38 Miller/Galante-I total knee prostheses implanted between 1987 and 1990, 20 (53%) were revised. Failed metal-backed patella (15 knees; 40%) was the most frequent reason for revision. In most patients, the components were found well fixed to bone. The purpose of this study was to describe the revision technique we used for failed metal-backed patella. Total revision of all components would be ideal. However, removal of all components results in large bone loss, large blood loss, and a longer operation time. Because of the patients' relatively old age (78.7 years), less demanding activities of daily life (ADL), and the lower body weight of the Japanese patient, we chose a less invasive approach. The revision technique had the following features: (1) the grooved femoral component was not replaced, (2) the failed patellar component was replaced by an all-polyethylene patella, (3) synovectomy was performed, and (4) realignment of patellar tracking was done by lateral release and medial imbrication of the quadriceps mechanism. The mean follow-up after revision was 2 years, 4 months, and good short-term results were obtained. This less invasive approach would be beneficial for elderly patients whose ADL are less demanding.
Authors:
M Kobori; S Kamisato; M Yoshida; K Kobori
Related Documents :
15466719 - Legg-calve-perthes disease. part i: classification of radiographs with use of the modif...
12004019 - Total hip replacement with a cementless acetabular component and a cemented femoral com...
19190049 - Six-year results of a prospective study of metal ion levels in young patients with meta...
19195829 - Successful performance of the bi-metric uncemented femoral stem at a minimum follow-up ...
19571089 - Cemented total hip replacement cable debris and acetabular construct durability.
18645979 - Medium term results of the collum femoris preserving hydroxyapatite coated total hip re...
7468959 - Morbidity after outpatient anaesthesia. a comparison of two techniques of endotracheal ...
23588389 - Guided growth for the treatment of limb length discrepancy: a comparative study of the ...
22519759 - Oral anticoagulant therapy in italian patients 80 years of age or older with atrial fib...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  5     ISSN:  0949-2658     ISO Abbreviation:  J Orthop Sci     Publication Date:  2000  
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  436-8     Citation Subset:  IM    
Affiliation:
Seirei Mikatahara Hospital, 3453 Mikatahara-cho, Hamamatsu, Shizuoka 433-8558, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Arthritis, Rheumatoid / surgery
Female
Humans
Knee Prosthesis*
Male
Middle Aged
Osteoarthritis, Knee / surgery
Prosthesis Design
Prosthesis Failure
Reoperation
Comments/Corrections
Comment In:
J Orthop Sci. 2001;6(3):302-3   [PMID:  11484128 ]

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


Previous Document:  Age and menopause-related changes in phalangeal bone density of Japanese women, measured by a digita...
Next Document:  Surgical treatment for cervical spondylotic myelopathy associated with athetoid cerebral palsy.