Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hip and knee replacement after longstanding hip arthrodesis.

M Rittmeister1, M Starker, L Zichner

  • 1Orthopedic University Hospital, Frankfurt, Germany.

Clinical Orthopaedics and Related Research
|February 29, 2000
PubMed
Summary

Total knee replacement alone is insufficient for patients with a fused hip and severe knee disease. Successful treatment requires total hip arthroplasty followed by total knee replacement for optimal outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Treatment of the ankle joint in rheumatoid arthritis with surgical and radiation synovectomy.

Der Orthopade·2017
Same author

[Total hip arthroplasty with shortening subtrochanteric osteotomy and custom-made prosthesis in Crowe type IV developmental dysplasia].

Zeitschrift fur Orthopadie und Unfallchirurgie·2011
Same author

High-resolution, selective water-excitation MRI-based cartilage thickness and volume measurements in upper extremity joints.

Ortopedia, traumatologia, rehabilitacja·2007
Same author

[Ligament instability in total knee arthroplasty--causal analysis].

Der Orthopade·2007
Same author

Fracture of ceramic heads in total hip replacement.

Archives of orthopaedic and trauma surgery·2006
Same author

Does tibial rotation correlate with femoral anteversion? Implications for hip arthroplasty.

The Journal of arthroplasty·2006

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Biomedical Engineering

Background:

  • Hip arthrodesis, a procedure to fuse the hip joint, can lead to secondary knee osteoarthritis.
  • Patients with a history of hip fusion often present with severe knee pain and dysfunction.

Purpose of the Study:

  • To evaluate the efficacy of total knee replacement (TKR) alone versus total hip arthroplasty (THA) followed by TKR in patients with prior hip arthrodesis.
  • To determine the optimal surgical strategy for managing severe knee disease in the context of a fused hip.

Main Methods:

  • A retrospective study of 18 patients with hip arthrodesis (mean duration 33 years).
  • Patients were divided into three groups: THA alone, TKR alone, or THA followed by TKR.
  • Functional outcomes were assessed using the Harris hip score and Hospital for Special Surgery (HSS) knee score.

Related Experiment Videos

Main Results:

  • THA significantly improved hip function (Harris score: 55.3 to 86.9).
  • Patients undergoing THA followed by TKR showed substantial improvement in knee function (HSS score: 33 to 78).
  • Patients receiving TKR alone after hip arthrodesis had minimal improvement in knee function (HSS score: 35 to 44).

Conclusions:

  • Total knee replacement alone is unlikely to yield satisfactory results for patients with a fused hip and severe knee disease.
  • Total hip arthroplasty followed by total knee replacement is the recommended approach for these complex cases.
  • This strategy is effective even when severe knee osteoarthritis is the primary presenting complaint.