scholarly journals Average 10.1-year follow-up of cementless total knee arthroplasty in patients with rheumatoid arthritis

2011 ◽  
Vol 54 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Young Woo
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Total Knee

15-year follow-up study of total knee arthroplasty in patients with rheumatoid arthritis

2003 ◽  
Vol 18 (8) ◽  
pp. 984-992 ◽  
Author(s):  
Jun Ito ◽  
Tomihisa Koshino ◽  
Renzo Okamoto ◽  
Tomoyuki Saito
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Follow Up Study ◽  
Total Knee

scholarly journals Follow-up study of total knee arthroplasty for rheumatoid arthritis.

1986 ◽  
Vol 34 (4) ◽  
pp. 1358-1361
Author(s):  
Masahiko Ono ◽  
Takashi Naono ◽  
Shoji Fujimoto ◽  
Masazumi Imamura ◽  
Takahide Kozuma ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Follow Up Study ◽  
Total Knee

scholarly journals Rationale of Cruciate Retaining Design in Rheumatoid Arthritis: A Review of Clinical Analysis and its Role in Rheumatoid Arthritis

2017 ◽  
Vol 11 (1) ◽  
pp. 1023-1027 ◽  
Author(s):  
Munis Ashraf ◽  
Om Prakash Sharma ◽  
Sruthi Priyavadhana ◽  
Senthil Nathan Sambandam ◽  
Varatharaj Mounasamy
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Clinical Analysis ◽  
Implant Design ◽  
Cruciate Retaining ◽  
Follow Up Studies ◽  
Total Knee

Background: Over the years, proponents of total knee designs (cruciate retaining and posterior stabilised) have conducted several long-term studies to claim the potential of these designs in several subsets of patients. Total knee arthroplasty (TKA) in patients with rheumatoid arthritis has also been one such domain where numerous studies were conducted in the past. A general perception among majority of arthroplasty surgeons is that, posterior stabilised (PS) is the implanted design of choice among patients with Rheumatoid arthritis (RA). However, with the available literature there is a significant disparity related to the selection of implants in patients with rheumatoid RA. In this review of literature, an attempt is made to identify the clinical performance and role of one such implant design, the cruciate retaining (CR) prosthesis in rheumatoid arthritis. Method: The review was conducted after a series of advanced search in the following medical databases; Pub med, Biomed central, Cochrane and Google scholar for articles related to long term follow up studies of cruciate retaining total knee arthroplasty in rheumatoid arthritis using the keywords cruciate retaining prosthesis, total knee arthroplasty, rheumatoid arthritis. Results: The available data demonstrate that the CR design is attributed with an excellent long term survivorship and functional outcome even in follow up studies up to twenty-five years. Conclusion: The advantages of using a CR design are long term survivorship, controlled femoral roll back and preservation of bone stock. Thus, the data gathered in this review lead to a consideration that the CR design is an implant design on par with PS design in patients with RA.

scholarly journals A Follow-Up Study of Uncemented Total Knee Arthroplasty (MG I) in Rheumatoid Arthritis.

1998 ◽  
Vol 47 (1) ◽  
pp. 333-336
Author(s):  
Tatsuhiro Hashimoto ◽  
Kenji Otsuki ◽  
Toshihiko Takita ◽  
Toshiaki Takahashi ◽  
Tadatoshi Nakashima ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Follow Up Study ◽  
Total Knee

scholarly journals Better clinical outcome of total knee arthroplasty for rheumatoid arthritis with perioperative glucocorticoids and disease-modifying anti-rheumatic drugs after an average of 11.4-year follow-up

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yi Ren ◽  
Qi Yang ◽  
Tim Luo ◽  
Jin Lin ◽  
Jin Jin ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Drug Therapy ◽  
Knee Arthroplasty ◽  
The Other ◽  
Total Knee ◽  
Disease Modifying ◽  
Hss Score

Abstract Background Previous evidence suggested that perioperative anti-rheumatic therapy for patients receiving total knee arthroplasty (TKA) helped improve postoperative rehabilitation for rheumatoid arthritis (RA), yet long-term effects and outcomes of perioperative drug therapy in TKA presently remain unclear. This study investigated whether perioperative treatment with glucocorticoids (GC) and disease-modifying anti-rheumatic drugs (DMARDs) can improve clinical outcomes for patients with RA undergoing TKA. Methods Patients between January 2000 and December 2011 were allocated into three groups based on perioperative drug therapy: A, control group (no GC or DMARDs), B, DMARD group (DMARDs given without GC), and C, co-therapy group (DMARDs plus GC). The patients were followed up for average 11.4 years. Baseline characteristics, pre- and post-operative Hospital for Special Surgery score (HSS), laboratory parameters, and complications were recorded by follow-up. Results Fifty-six RA patients undergoing 91 TKAs were included in this study. Patients who received perioperative GC with DMARDs (group C) achieved larger/increased range of motion (ROM) (C:122.17 vs A:108.31 vs B:108.07, p = 0.001, partial eta squared (η2 p) = 0.18) at 1 year, better HSS score (C, 83.01 vs A, 79.23 vs B, 77.35, p = 0.049, η2 p = 0.067), pain relief (C, 1.09 vs A, 1.17 vs B, 1.75, p = 0.02, η2 p = 0.094), and ROM (C, 130.81 vs A, 112.82 vs B, 113.58, p = 0.001, η2p = 0.142) at latest follow-up comparing with the other treatment groups. No differences were noted in laboratory tests, blood loss, volume of transfusion, or complications among groups. Conclusions Compared with the other perioperative anti-rheumatic treatments, the combination of GC and DMARDs results in improved HSS score, better function, larger range of motion, and reduced postoperative pain for TKA patients with RA in the long term. Further investigation is warranted to look for a better understanding of more specific medication effects and strike a good balance between the benefits and complications for long-term pharmacotherapy.

scholarly journals Heterotrophic ossification post total knee arthroplasty in a patient with rheumatoid arthritis: a case report

2021 ◽  
Vol 7 (6) ◽  
pp. 1227
Author(s):  
Aswin Thankachan Veliyil ◽  
Dileep S. ◽  
Renjit John Mathew ◽  
John Thayyil John
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Quadriceps Tendon ◽  
X Ray ◽  
The Past ◽  
Total Knee ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

<p class="abstract">Even though minor degrees of heterotrophic ossification are common in total knee arthroplasty, it is of little clinical significance. But severe degrees of heterotrophic ossification are very rare after total knee arthroplasty. Here we discuss about a 70 years old woman who initially had excellent post-operative range of movements after cemented total knee arthroplasty, but later presented with knee pain, swelling and loss of range of movements after 3 months. X ray showed severe heterotrophic ossification around knee near the quadriceps tendon. She was treated conservatively with non-steroidal anti inflammatory drugs and physiotherapy. After a period of 3 months of physiotherapy, patient regained the lost range of movements and is currently under follow up for the past 1 year. Hence this case instantiates that even in cases of severe Heterotrophic Ossification after total knee arthroplasty, non-operative treatments such as physiotherapy with anti-inflammatory drugs should be the primary option to treat the stiffness before considering surgery.</p><p class="abstract"> </p>

Sign in / Sign up

Export Citation Format

Share Document