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Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report
INTRODUCTION: Neglected knee dislocations are a rare entity. They present with gross degenerative changes and ligament laxity. There is no defined protocol for the treatment of arthritic knees in neglected knee dislocations. CASE REPORT: A 54-year-old male presented with pain and limp over his left...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815670/ https://www.ncbi.nlm.nih.gov/pubmed/33489973 http://dx.doi.org/10.13107/jocr.2020.v10.i06.1880 |
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author | Ramanath, Sharath Kittanakere Shah, Rahul Hemant Rajan, Ashwini Varadha Patil, Sandesh |
author_facet | Ramanath, Sharath Kittanakere Shah, Rahul Hemant Rajan, Ashwini Varadha Patil, Sandesh |
author_sort | Ramanath, Sharath Kittanakere |
collection | PubMed |
description | INTRODUCTION: Neglected knee dislocations are a rare entity. They present with gross degenerative changes and ligament laxity. There is no defined protocol for the treatment of arthritic knees in neglected knee dislocations. CASE REPORT: A 54-year-old male presented with pain and limp over his left knee after sustaining a knee dislocation 25 years back which was unsuccessfully reduced by open methods twice. Since the patient was a farmer and involved in heavy labor activities, we decided to avoid arthrodesis of his knee and help him ambulate immediately without any functional limitations. We performed a hinged total knee arthroplasty (TKA) which corrected the deformity, ligament laxity, and pain and helped him gain complete range of movements. The patient was followed-up till 30 months after the surgery with excellent clinical and radiological results. CONCLUSION: A hinged TKA is a reliable technique to correct a neglected knee dislocation in a single sitting provided thorough pre-operative assessment and post-operative physiotherapy are done. |
format | Online Article Text |
id | pubmed-7815670 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-78156702021-01-21 Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report Ramanath, Sharath Kittanakere Shah, Rahul Hemant Rajan, Ashwini Varadha Patil, Sandesh J Orthop Case Rep Case Report INTRODUCTION: Neglected knee dislocations are a rare entity. They present with gross degenerative changes and ligament laxity. There is no defined protocol for the treatment of arthritic knees in neglected knee dislocations. CASE REPORT: A 54-year-old male presented with pain and limp over his left knee after sustaining a knee dislocation 25 years back which was unsuccessfully reduced by open methods twice. Since the patient was a farmer and involved in heavy labor activities, we decided to avoid arthrodesis of his knee and help him ambulate immediately without any functional limitations. We performed a hinged total knee arthroplasty (TKA) which corrected the deformity, ligament laxity, and pain and helped him gain complete range of movements. The patient was followed-up till 30 months after the surgery with excellent clinical and radiological results. CONCLUSION: A hinged TKA is a reliable technique to correct a neglected knee dislocation in a single sitting provided thorough pre-operative assessment and post-operative physiotherapy are done. Indian Orthopaedic Research Group 2020-09 /pmc/articles/PMC7815670/ /pubmed/33489973 http://dx.doi.org/10.13107/jocr.2020.v10.i06.1880 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ramanath, Sharath Kittanakere Shah, Rahul Hemant Rajan, Ashwini Varadha Patil, Sandesh Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title | Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title_full | Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title_fullStr | Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title_full_unstemmed | Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title_short | Hinged Total Knee Replacement for an Arthritic Knee Following a Neglected Knee Dislocation: A Case Report |
title_sort | hinged total knee replacement for an arthritic knee following a neglected knee dislocation: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7815670/ https://www.ncbi.nlm.nih.gov/pubmed/33489973 http://dx.doi.org/10.13107/jocr.2020.v10.i06.1880 |
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