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Published on: January 24, 2018
Total knee arthroplasty for post-traumatic arthrosis
J H Lonner1, F X Pedlow, J M Siliski
1Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, USA.
The Journal of Arthroplasty
|December 30, 1999
Summary
Total knee arthroplasty significantly improves motion and function in post-traumatic arthrosis patients. However, high complication rates necessitate careful surgical technique to minimize adverse outcomes.
Area of Science:
- Orthopedic Surgery
- Biomechanics
- Reconstructive Surgery
Background:
- Post-traumatic arthrosis often leads to debilitating knee pain and dysfunction.
- Total knee arthroplasty (TKA) is a potential treatment option for advanced post-traumatic knee arthritis.
Purpose of the Study:
- To evaluate the outcomes of total knee arthroplasty (TKA) in patients with post-traumatic arthrosis.
- To identify factors influencing success and complications in this patient population.
Main Methods:
- Retrospective study of 31 knees undergoing TKA for post-traumatic arthrosis.
- Analysis of pre- and post-operative range of motion, functional scores (Knee Society scores), and complication rates.
- Average follow-up of 46 months.
Main Results:
- Significant improvements in mean arc of motion (94° to 100°) and functional scores (44 to 72 points).
- Knee Society scores improved significantly (36 to 78 points).
- High complication rate (57%), including aseptic failure (26%) and septic failure (10%).
Conclusions:
- TKA can restore motion and function in post-traumatic arthrosis.
- Patients are at high risk for complications; meticulous surgical technique is crucial.
- Optimizing limb alignment, soft tissue balance, and component alignment can mitigate risks.
