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Related Experiment Videos

[Total prosthesis on a rheumatoid knee].

P Deroche1, P Neyret, E Noel

  • 1Clinique Chirurgicale et Orthopédique et Traumatologie, Centre Hospitalier Lyon Sud.

Revue Du Rhumatisme Et Des Maladies Osteo-Articulaires
|June 1, 1992
PubMed
Summary
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Total knee replacement effectively treats rheumatoid arthritis pain and preserves mobility. This surgery offers high patient satisfaction and reliable long-term results for knee arthritis.

Area of Science:

  • Orthopedic Surgery
  • Rheumatology

Context:

  • Rheumatoid arthritis frequently affects the knees, causing significant pain and mobility issues.
  • Total knee replacement is a common surgical intervention for end-stage knee arthritis.

Purpose:

  • To evaluate the outcomes of total knee replacement in patients with rheumatoid arthritis.
  • To assess pain relief, functional improvement, and implant survival rates.

Summary:

  • Eighty-one total knee replacements were performed in 67 rheumatoid arthritis patients with a mean follow-up of three years.
  • 82% of patients reported no pain post-surgery, with a mean passive flexion of 113 degrees.
  • Complications included infection in four patients, necessitating arthrodesis or prosthesis revision; however, no loosening was observed.

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Impact:

  • Total knee replacement is a reliable and radical treatment for rheumatoid arthritis of the knee.
  • Early surgical intervention is recommended upon the development of fixed flexion or axial deviation.
  • The procedure leads to significant pain reduction and functional restoration in the majority of patients.