Arthroscopy in Treatment of Knee Arthroplasty Complications

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Abstract

Results of the operated joint arthroscopy were presented for 16 patients with complications after knee arthroplasty. The reasons for arthroscopic intervention were: implant instability - 1 case, breaking of implant hinge - 1 case, arthrofibrosis - 2 cases, recurrent hemarthrosis with synovial membrane vessels malformation - 2 cases, reactive aseptic necrosis - 4 cases and resistant medial pain syndrome resulting from neuropathy of the infrapatellar branch of subcutaneous femoral nerve - 6 cases. Arthroscopy after knee arthroplasty enables with high accuracy to diagnose knee joint pathology, to avoid revision arthrotomy, to minimize intraoperative trauma, to improve functional results and patient’s quality of life as well as to reduce the cost of treatment.

About the authors

A. V Alabut

Rostov State Medical University, Rostov-on-Don

Email: alabut@mail.ru
доктор мед. наук, доцент каф. травматологии и ортопедии, зав. травматолого-ортопедическим отделением клиники РостГМУ; Тел.: +7 (918) 558-51-82. 344022, Ростов-на-Дону, пер. Нахичеванский, д. 29

V. D Sikilinda

Rostov State Medical University, Rostov-on-Don

доктор мед. наук, профессор, зав. каф. травматологии и ортопедии РостГМУ

D. O Kubasov

Rostov State Medical University, Rostov-on-Don

врач травматолого-ортопедического отделения клиники РостГМУ

References

  1. Rubash H.E. Четыре самых тяжелых осложнения в эндопротезировании. Cera News. 2014; 2: 6-9.
  2. Ефименко Н.А., Грицюк А.А., Середа А.П., Давыдов Д.В., Самойлов А.С. Профилактика инфекций области хирургического вмешательства в травматологии и ортопедии: использование антибиотиков в костном цементе. Инфекции в хирургии. 2009; 2: 15-27.
  3. Lentino J.R. Prosthetic joint infections: bane of orthopedists, challenge for infectious disease specialists. Clin. Infect. Dis. 2003; 36: 1157-61.
  4. Румянцев Ю.И. Лучевая диагностика осложнений эндопротезирования тазобедренного и коленного суставов. Бюллетень сибирской медицины. 2012; 11 (5): 1-5.
  5. Паратте С., Корнилов Н.Н., Тиенпонт Э., Балдини А., Тихилов Р.М., Аргенсон Ж.-Н., Куляба Т.А. Необъяснимая боль после тотального эндопротезирования коленного сустава. Травматология и ортопедия России. 2013; 4 (70): 92-6.
  6. Brander V.A., Stulberg S.D., Adams A.D., Harden R.N., Bruehl S., Stanos S.P., Houle T. Predicting total knee replacement pain: a prospective, observational study. Clin. Orthop. Relat. Res. 2003; 416: 27-36.
  7. Parvizi J., Tarity T.D., Steinbeck M.J., Politi R.G., Joshi A., Purtill J.J., Sharkey P.F. Management of stiffness following total knee arthroplasty. J. Bone Joint Surg. 2006; 88 (suppl. 4): 175-81.
  8. Scranton P.E. Jr. Management of knee pain and stiffness after total knee arthroplasty. J. Arthroplasty. 2001; 16: 428-35.
  9. Mont M.A., Serna F.K., Krackow K.A., Hungerford D.S. Exploration of radiographically normal total knee replacements for unexplained pain. Clin. Orthop. Relat. Res. 1996; 331: 216-20. doi: 10.1097/00003086-199610000-00030.
  10. Barrack R.L. Rise of the rotating hinge in revision total knee arthroplasty. Orthopedics. 2002; 25: 1020-8.
  11. Ritter M.A., Carr K.D., Keating E.M., Faris P.N., Bankoff D.L., Ireland P.M. Revision total joint arthroplasty: dose Medicare reimbursement justify time spent? Orthopedics. 1996; 19: 137-9.
  12. Hebert C.K., Williams R.E., Levy R.S., Barrack R.L. Cost of treating an infected total knee replacement. Clin. Orthop. Relat. Res. 1996; 331: 140-5.
  13. Mont M.A., Seyler T.M., Marulanda G.A., Delanois R.E., Bhave A. Surgical treatment and customized rehabilitation for stiff knee arthroplasties. Clin. Orthop. Relat. Res. 2006; 446: 193-200.
  14. Arbuthnot J.E., Brink R.B. Arthroscopic arthrolysis for the treatment of stiffness after total knee replacement gives moderate improvements in range of motion and functional knee scores. Knee Surg. Sports Traumatol. Arthrosc. 2010; 18 (3): 346-51.
  15. Diduch D.R., Scuderi G.R., Scott W.N., Insall J.N., Kelly M.A. The efficacy of arthroscopy following total knee replacement. Arthroscopy. 1997; 13 (2): 166-71.
  16. Klinger H.M., Baums M.H., Spahn G., Ernstberger T. A study of effectiveness of knee arthroscopy after knee arthroplasty. Arthroscopy. 2005; 21 (6): 731-8.

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