Complicated Cases of Knee Arthroplasty


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Abstract

Experience in treatment of 190 patients (mean age 61 years) with marked (> 15°) knee deformity due to various pathology (idiopathic gonarthrosis, rheumatoid arthritis, posttraumatic gonarthrosis) is presented. In 19 cases revision interventions for aseptic instability of implant were performed. In all cases «Smith & Nephew» RT-PLUS system of either standard or modular modification was used. In 183 (96.3%) cases satisfactory results were noted: steady remission of chronic pain syndrome was achieved, limb axis, joint mobility and weight bearing ability were restored, conditions for early loading and mobilization were provided. All that promoted the improvement of patients’ life quality. Complications included 1 case of periprosthetic fracture, 5 cases of deep purulent inflammation 2 of which required implant removal with creation of arthrodesis in functionally favorable position, and 3 cases of arthrofibrosis. As a whole the achieved results enable to recommend the use of RT-PLUS system in complicated cases of arthroplasty.

About the authors

N. V Zagorodniy

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

доктор мед. наук, профессор, зав. отделением эндопротезирования крупных суставов 127299, Москва, ул. Приорова, д. 10, ЦИТО

S. V Kagramanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

канд. мед. наук, науч. сотр. отделения эндопротезирования крупных суставов 127299, Москва, ул. Приорова, д. 10, ЦИТО

O. A Kudinov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

канд. мед. наук, врач отделения эндопротезирования крупных суставов 127299, Москва, ул. Приорова, д. 10, ЦИТО

I. A Nikolaev

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

Email: ilya-nikolaev@mail.ru
аспирант отделения; Тел.: 8 (495) 601-45-70 127299, Москва, ул. Приорова, д. 10, ЦИТО

G. A Chragyan

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

канд. мед. наук, врач отделения 127299, Москва, ул. Приорова, д. 10, ЦИТО

A. V Ivanov

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

аспирант отделения 127299, Москва, ул. Приорова, д. 10, ЦИТО

I. D Kilasoniya

Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia

аспирант отделения 127299, Москва, ул. Приорова, д. 10, ЦИТО

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