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Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening

Soft tissue impingements are well-known complications of total knee arthroplasty. The impingements usually occur between the medial or lateral femoral component and tibial insert, and between the patella and femoral components. We report a rare case of impingement of the soft tissue between the femo...

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Detalles Bibliográficos
Autores principales: Toda, Akihiko, Tei, Katsumasa, Matsumoto, Tomoyuki, Ishida, Kazunari, Sasaki, Hiroshi, Kodato, Kazuki, Nishizawa, Yuichiro, Kirizuki, Shinsuke, Shibanuma, Nao, Tateishi, Hiroomi, Kuroda, Ryosuke, Kurosaka, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asia-Pacific Knee, Arthroscopy and Sports Medicine Society 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5850993/
https://www.ncbi.nlm.nih.gov/pubmed/29552506
http://dx.doi.org/10.1016/j.asmart.2017.12.001
Descripción
Sumario:Soft tissue impingements are well-known complications of total knee arthroplasty. The impingements usually occur between the medial or lateral femoral component and tibial insert, and between the patella and femoral components. We report a rare case of impingement of the soft tissue between the femoral intercondylar fossa and post of the polyethylene insert, which caused pain and walking disability. After the surgery for the arthroscopic removal of the soft tissue, the symptoms disappeared. However, prosthetic loosening of the femur occurred several months after the arthroscopic surgery, requiring revision surgery. We would propose to call this symptom as post-cam clunk syndrome.