التفاصيل البيبلوغرافية
| العنوان: |
Custom-made hinged total knee arthroplasties in the context of extra-articular deformity : a case series |
| المؤلفون: |
Nuutinen, Timo K., Madanat, R., Både, K. W., Ristolainen, L. H., Kauppinen, H., Manninen, M. J. |
| المساهمون: |
Faculty of Medicine, HUS Musculoskeletal and Plastic Surgery |
| بيانات النشر: |
SPRINGER FRANCE |
| سنة النشر: |
2023 |
| المجموعة: |
Helsingfors Universitet: HELDA – Helsingin yliopiston digitaalinen arkisto |
| مصطلحات موضوعية: |
Custom-made, Knee surgery, Arthroplasty, Deformity, REPLACEMENT, OSTEOTOMY, OSTEOARTHRITIS, Surgery, anesthesiology, intensive care, radiology |
| الوصف: |
Purpose Treatment of secondary knee osteoarthritis with a significant extra-articular deformity can be challenging. In such cases, an osteotomy or a custom-made hinged knee arthroplasy (CMH) are treatment options. However, there are limited data on the outcomes of using CMHs. Thus, the aim of this retrospective study was to assess the clinical results and subjective outcomes of CMHs. Methods We reviewed 9 CMHs (Endo-Model, LINK) in 7 patients with a minimum of 2-year follow-up. Upon the last follow-up, we evaluated MA, stability and range of movement (ROM). Oxford Knee Score (OKS) was used to evaluate patient-reported outcomes. Results The average age upon surgery was 61 years (48-76 years), and the follow-up period was 66 months. There were no early complications. Two CMHs were revised, one due to aseptic loosening and one due to late-onset haematogenic infection. Pre-operatively, MA varied from 18 degrees (average 11 degrees) valgus-deformity to 30 degrees (average 17 degrees) varus-deformity. Post-operatively, 7/9 (78%) of patients achieved better MA. Upon follow-up, the average OKS was 41/48, and ROM was 113 degrees. Conclusions Patients treated with CMHs achieved good clinical and patient-reported outcomes. There were no early reoperations, and revision rate was relatively low. Overall, CMH could be considered for low-demand patients with increased operative risks. ; Peer reviewed |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| Relation: |
Open Access funding provided by University of Helsinki including Helsinki University Central Hospital. This work was supported by Orton Evo-grants (Project number: A2500/471) by the Ministry of Social Affairs and Health, Finland and Par Slatis grants from Invalidisaatio, Helsinki, Finland.; http://hdl.handle.net/10138/357403; 85131812220; 000810803400001 |
| الاتاحة: |
http://hdl.handle.net/10138/357403 |
| Rights: |
cc_by ; info:eu-repo/semantics/openAccess ; openAccess |
| رقم الانضمام: |
edsbas.274B91AC |
| قاعدة البيانات: |
BASE |