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Full flexion after total knee replacement in rheumatoid arthritis

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Summary

The results of the Y-S total knee replacement are reported in 152 patients with rheumatoid arthritis (227 knees). The follow up was from 2 to 4 years (average 2.7 years). The good range of motion generally achieved was attributed to the use of a calibrated distractor for soft tissue balancing, a tibial prosthesis with a flattened plateau and extensive postoperative rehabilitation. Fourteen patients (27 knees) were able to squat fully after operation. A good range of motion before operation was related to a good range after operation. The range and overall results did not differ in patients with rheumatoid arthritis or osteoarthritis. The knees which recovered full flexion were no different from those with less than full flexion as far as stability and radiographic findings were concerned.

Résumé

Les auteurs rapportent les résultats de 227 prothèses de genou Y. S. chez 152 malades atteints d'arthrite rhumatoïde avec un recul de 2 à 4 ans (moyenne 2, 7 ans), la bonne amplitude de mouvements obtenue est attribuée à l'utilisation d'un distracteur calibré pour un bon équilibre des parties molles, à un plateau tibial prothétique plat et à une rééducation post-opératoire intensive. Une bonne mobilité préopératoire est un facteur de bonne mobilité post-opératoire. L'amplitude des mouvements et les résultats globaux sont les mêmes dans les arthrites rhumatoïdes et dans les ostéoarthrites. La stabilité et l'aspect radiologique étaient analogues que les genoux aient récupéré une flexion complète ou non.

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Authors and Affiliations

  1. Department of Joint Diseases, Nippon Medical School, 3-5-5 Iidabashi Chiyoda-ku, Tokyo, Japan

    S. Yoshino & M. Komagamine

  2. Department of Orthopaedic Surgery, Louisiana State University Medical Centre, New Orleans, LA, USA

    H. Shoji

Authors
  1. S. Yoshino
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  2. H. Shoji
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  3. M. Komagamine
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Yoshino, S., Shoji, H. & Komagamine, M. Full flexion after total knee replacement in rheumatoid arthritis. International Orthopaedics 14, 13–16 (1990). https://doi.org/10.1007/BF00183356

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  • DOI: https://doi.org/10.1007/BF00183356

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