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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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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
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author Toda, Akihiko
Tei, Katsumasa
Matsumoto, Tomoyuki
Ishida, Kazunari
Sasaki, Hiroshi
Kodato, Kazuki
Nishizawa, Yuichiro
Kirizuki, Shinsuke
Shibanuma, Nao
Tateishi, Hiroomi
Kuroda, Ryosuke
Kurosaka, Masahiro
author_facet Toda, Akihiko
Tei, Katsumasa
Matsumoto, Tomoyuki
Ishida, Kazunari
Sasaki, Hiroshi
Kodato, Kazuki
Nishizawa, Yuichiro
Kirizuki, Shinsuke
Shibanuma, Nao
Tateishi, Hiroomi
Kuroda, Ryosuke
Kurosaka, Masahiro
author_sort Toda, Akihiko
collection PubMed
description 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.
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spelling pubmed-58509932018-03-16 Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening Toda, Akihiko Tei, Katsumasa Matsumoto, Tomoyuki Ishida, Kazunari Sasaki, Hiroshi Kodato, Kazuki Nishizawa, Yuichiro Kirizuki, Shinsuke Shibanuma, Nao Tateishi, Hiroomi Kuroda, Ryosuke Kurosaka, Masahiro Asia Pac J Sports Med Arthrosc Rehabil Technol Case Report 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. Asia-Pacific Knee, Arthroscopy and Sports Medicine Society 2017-12-16 /pmc/articles/PMC5850993/ /pubmed/29552506 http://dx.doi.org/10.1016/j.asmart.2017.12.001 Text en © 2017 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Toda, Akihiko
Tei, Katsumasa
Matsumoto, Tomoyuki
Ishida, Kazunari
Sasaki, Hiroshi
Kodato, Kazuki
Nishizawa, Yuichiro
Kirizuki, Shinsuke
Shibanuma, Nao
Tateishi, Hiroomi
Kuroda, Ryosuke
Kurosaka, Masahiro
Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title_full Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title_fullStr Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title_full_unstemmed Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title_short Post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
title_sort post-cam clunk syndrome after posterior stabilized total knee arthroplasty as a sign of early femoral component loosening
topic Case Report
url 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
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