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A modified Gritti-Stokes amputation technique as a solution for recurring aseptic loosening of a knee arthroplasty: A
Willemijn Mj van Rooij1, Karin Cm Maas-van Weert1, Robin Wtm van Kempen2
1Libra Rehabilitation & Audiology, Eindhoven, The Netherlands.
Case Description:
A 56-year-old man with persistent knee pain and poor physical functioning due to recurring loosening of a (revised) total knee arthroplasty, was treated with a modified Gritti-Stokes amputation.
Objectives:
to describe the modified Gritti-Stokes amputation technique as an ultimate therapy for failed total knee arthroplasty and to assess the functional outcome for one patient 1 year post-surgery.
Study Design:
a single patient case study.
Treatment:
a modified Gritti-Stokes amputation, with removal of the overlying cartilage and subchondral surfaces of both the patella and femur after removing the total knee arthroplasty.
Outcomes:
After rehabilitation, the patient has a fully end-bearing residual limb, is able to walk without pain (with a prosthesis) and perform his daily activities.
Conclusions:
In cases of recurring loosening of a (revised) total knee arthroplasty, a modified Gritti-Stokes amputation can create an end-bearing residual limb without pain and with good functional outcome.