Document Detail


Total knee arthroplasty in the young rheumatoid patient.
MedLine Citation:
PMID:  9415727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-four total knee arthroplasties were performed for severe rheumatoid arthritis in 25 patients younger than 45 years. All patients were available for follow-up evaluation at an average of 7.2 years. According to the Knee Society scoring system, the knee score improved from an average of 21 points preoperatively to 85 points at follow-up (p < 0.001). The average functional score improved from 23 points to 87 points (p < 0.001). Average range of motion improved from 71 degrees to 93 degrees (p < 0.001). Nonprogressive radiolucencies less than 1-mm thick were observed in 6 knees. One knee was revised for severe polyethylene wear; another case was revised for chronic patellar dislocation. Actuarial survivorship analysis estimates a 97% survivorship after 5 years and 90% after after 10 years. In young rheumatoid patients, total knee arthroplasty can therefore be considered as a reliable procedure, with satisfactory results during at least the first 5 to 10 postoperative years.
Authors:
J Bellemans; J Victor; R Westhovens; J Dequeker; G Fabry
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  63     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1998-01-21     Completed Date:  1998-01-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  189-93     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, U.Z. Pellenberg, Catholic University Leuven.
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Adult
Age Factors
Arthritis, Rheumatoid / radiography,  surgery*
Arthroplasty, Replacement, Knee* / adverse effects,  methods
Dislocations / etiology
Female
Follow-Up Studies
Humans
Knee Joint / radiography,  surgery
Knee Prosthesis
Male
Middle Aged
Patella / physiopathology
Patient Satisfaction
Polyethylenes
Prosthesis Failure
Range of Motion, Articular
Reoperation
Reproducibility of Results
Surface Properties
Survival Analysis
Treatment Outcome
Chemical
Reg. No./Substance:
0/Polyethylenes

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


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