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Knee prosthesis in rheumatoid patients
G Gualtieri1, G Bettelli, A Ferruzzi
14 Divisione di Ortopedia e Traumatologia, Istituto Ortopedico Rizzoli, Bologna.
La Chirurgia Degli Organi Di Movimento
|July 1, 1997
Summary
Total knee arthroplasty effectively improves quality of life for rheumatoid arthritis patients. This study highlights surgical techniques and confirms significant improvements in joint function and patient outcomes.
Area of Science:
- Orthopedics
- Rheumatology
Background:
- Rheumatoid arthritis (RA) patients present unique challenges for total knee arthroplasty (TKA) due to compromised bone quality and increased complication risks.
- TKA is a viable option for improving quality of life in both osteoarthritis and RA patients.
Purpose of the Study:
- To report the experience with 24 prostheses in 21 RA patients undergoing TKA.
- To confirm the efficacy of TKA in RA patients, considering specific surgical aspects.
Main Methods:
- Surgical techniques emphasized include posterior cruciate ligament conservation, cement use, and patelloplasty.
- Preoperative planning and economical bone resections, particularly in the tibia, are crucial.
- Patient outcomes were evaluated using the American Knee Society (AKS) protocol.
Main Results:
- The study reported on 24 prostheses in 21 RA patients.
- Significant improvements were observed in the American Knee Society articular score (average 36 to 88) and functional score (average 34 to 68).
Conclusions:
- Total knee arthroplasty is an effective procedure for rheumatoid arthritis patients.
- Careful surgical technique and preoperative planning contribute to satisfactory functional and articular outcomes in RA patients undergoing TKA.