| Total knee arthroplasty in the young rheumatoid patient. | |
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MedLine Citation:
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PMID: 9415727 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J Bellemans; J Victor; R Westhovens; J Dequeker; G Fabry |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta orthopaedica Belgica Volume: 63 ISSN: 0001-6462 ISO Abbreviation: Acta Orthop Belg Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1998-01-21 Completed Date: 1998-01-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2985165R Medline TA: Acta Orthop Belg Country: BELGIUM |
Other Details:
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Languages: eng Pagination: 189-93 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, U.Z. Pellenberg, Catholic University Leuven. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Polyethylenes |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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