Total Knee Replacement for Posttraumatic Arthritis

  • John M. Siliski
  • Frank X. PedlowJr.
Chapter

Abstract

Primary total knee arthroplasty has become a commonly performed surgical procedure, with approximately 213,000 primary knee replacements done in the United States in 1992.1 The results of primary knee arthroplasty have provided greater than 95% satisfactory initial results.2–7 The long-term durability of primary knee arthroplasty has also been very gratifying, with a relatively low failure and revision rate. The success of primary knee arthroplasty is due to a number of factors, including improvements in implant design and materials, understanding of lower limb alignment, instruments and surgical techniques for bone preparation and ligament balancing, and postoperative management. Most primary total knee arthroplasties are done in patients with osteoarthritis or rheumatoid arthritis. Most commonly, these patients do not have surgical scars, malalignment, instability, and bone defects that can complicate and compromise knee arthroplasty. These types of problems are, however, encountered frequently in patients who have undergone previous major reconstructive surgery of the knee, such as osteotomy above or below the joint and previous knee arthroplasty that has failed for any of multiple reasons.8–10 It is known that patients with previous osteotomy and arthroplasty require extra planning in preparation for surgery, and that the outcomes of these types of revision surgeries, especially major revision total knee arthroplasty, are not as good as for primary knee arthroplasty.11–16

Keywords

Arthritis Depression Osteoporosis Polyethylene Immobilization 

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References

  1. 1.
    Orthopaedic Network News. 1993;4:1. (Mendall Associates, Ann Arbor, MI.)Google Scholar
  2. 2.
    Insall JN, Kelly M. The total condylar prosthesis. Clin Orthop Relat Res. 1986;205:43–48.PubMedGoogle Scholar
  3. 3.
    Knutson K, Lindstrand A, Lidgren L. Survival of knee arthroplasties: A nationwide multicenter investigation of 8,000 cases. J Bone Joint Surg Am. 1986;66:795–803.Google Scholar
  4. 4.
    Rorabeck CH, Bourne RB, Nott L. The cemented Kinematic-II and the non-cemented porous-coated anatomic prosthesis for total knee replacement: A prospective evaluation. J Bone Joint Surg Am. 1988;70:483–490.PubMedGoogle Scholar
  5. 5.
    Scott WN, Rubinstein M. Posterior stabilized knee arthroplasty. Clin Orthop. 1986;205:138–145.PubMedGoogle Scholar
  6. 6.
    Vince KG, et al. Long-term results of cemented total knee arthroplasty. Orthop Clin North Am. 1988;19:575–580.PubMedGoogle Scholar
  7. 7.
    Wright J, Ewald FC, Walker PS, Thomas WH, Poss R, Sledge CB. Total knee arthroplasty with the kinematic prosthesis. Results at five to nine years: A follow-up note. J Bone Joint Surg Am. 1990;72:1003–1009.PubMedGoogle Scholar
  8. 8.
    Staeheli JW, Cass JR, Morrey BF. Condylar total knee arthroplasty after failed proximal tibial osteotomy. J Bone Joint Surg Am. 1987;69:28–31.PubMedGoogle Scholar
  9. 9.
    Windsor RE, Insall JN, Vince KG. Technical consideration of total knee arthroplasty after proximal tibial osteotomy. J Bone Joint Surg Am. 1988;70:547–555.PubMedGoogle Scholar
  10. 10.
    Windsor RE, Insall JN, Sculco TR. Bone grafting of tibial defects in primary and revision total knee arthroplasty. Clin Orthop Relat Res. 1986;205:132–137.PubMedGoogle Scholar
  11. 11.
    Cameron HU, Welsh RP. Potential complications of total knee replacement following tibial osteotomy. Orthop Rev. 1988;18:39–47.Google Scholar
  12. 12.
    Friedman R, Hirst P, Poss R, Kelley K, Sledge C. Longterm results of revision total knee replacement. Presented at AAOS Annual Meeting; 1988: Paper 300.Google Scholar
  13. 13.
    Hanssen AD, Rand JA. A comparison of primary and revision total knee arthroplasty using the kinematic stabilizer prosthesis. J Bone Joint Surg. 1988;70:491–499.PubMedGoogle Scholar
  14. 14.
    Katz MM, Hungerford DS, Krackow KA, Lennox DW. Results of total knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis. J Bone Joint Surg Am. 1987;69:225–233.PubMedGoogle Scholar
  15. 15.
    Rand JA, Bryan RS. Results of revision total knee arthroplasty using condylar prostheses. A review of fifty cases. J Bone Joint Surg Am. 1988;70:738–45.PubMedGoogle Scholar
  16. 16.
    Rand JA, Peterson LJA, Bryan RS, Ilstrup DM. Revision total knee arthroplasty. In: AAOS Instructional Course Lectures. St. Louis: CA Mosby; 1986;305–318.Google Scholar
  17. 17.
    Pinals RS. Traumatic arthritis and allied conditions. In: McCarty, ed. Degenerative Arthritis and Allied Conditions. A Textbook of Rheumatology. Philadelphia: Lea & Feibiger; 1989:1371.Google Scholar
  18. 18.
    Bowes DN, Hohl M. Tibial condylar fractures. Evaluation of treatment and outcome. Clin Orthop Relat Res. 1980;171:104–108.Google Scholar
  19. 19.
    Gylling U, Lindholm R. Fractures of the tibial condyle. Ann Chir Gynaecol Fenn. 1953;42:229.PubMedGoogle Scholar
  20. 20.
    Apley AG. Fractures of the lateral tibial condyle treated by skeletal traction and early mobilization: A review of sixty cases with special reference to long-term results. J Bone Joint Surg Br. 1956;38:699–708.PubMedGoogle Scholar
  21. 21.
    Hohl M, Luck J. Fractures of the tibial condyle: A clinical and experimental study. J Bone Joint Surg Br. 1956;38:1001–1018.Google Scholar
  22. 22.
    Rombold C. Depressed fractures of the tibial plateau: Treatment with internal fixation and early mobilization: A preliminary report. J Bone Joint Surg Am. 1960;42:783–797.PubMedGoogle Scholar
  23. 23.
    Shatzker J, Lambert DC. Supracondylar fractures of the femur. Clin Orthop Relat Res. 1979;138:77–83.Google Scholar
  24. 24.
    Shatzker J, McBroom R, Bruce D. The tibial plateau fracture. The Toronto experience 1968–1975. Clin Orthop Relat Res. 1979;171:104–108.Google Scholar
  25. 25.
    Ramussen PS. Tibial condylar fractures as a cause of degenerative arthritis. Acta Orthop Scand. 1972;43:566–575.CrossRefGoogle Scholar
  26. 26.
    Lansinger O, Bergman B, Korner L, Anderson GBJ. Tibial condylar fractures. A twenty-year follow-up. J Bone Joint Surg Am. 1986;68:13–19.PubMedGoogle Scholar
  27. 27.
    Egund N, Kolmert L. Deformities, gonarthrosis and function after distal femoral fractures. Acta Orthop Scand. 1982;52:963–974.Google Scholar
  28. 28.
    Siliski JM, Mahring M, Hofer HP. Supracondylarintercondylar fractures of the femur. J Bone Joint Surg Am. 1989;71:95–104.PubMedGoogle Scholar
  29. 29.
    Kettelkamp DB, Hillbury BM, Murrish DE, Heck DA. Degenerative arthritis of the knee secondary to fracture malunion. Clin Orthop Relat Res. 1988;234:159–169.PubMedGoogle Scholar
  30. 30.
    Merchant TC, Dietz FR. Long-term follow-up after fractures of the tibial and fibular shafts. J Bone Joint Surg Am. 1989;71:599–606.PubMedGoogle Scholar
  31. 31.
    Volpin G, Dowd GSE, Stein H, Bentley G. Degenerative arthritis after intra-articular fractures of the knee. J Bone Joint Surg Br. 1990;72:634–638.PubMedGoogle Scholar
  32. 32.
    Siliski JM, Awbrey BJ, Tomford WW., Trippel SB, Bayley JC. Total knee replacement for post-traumatic arthritis. Presented at AAOS Annual Meeting; 1989: Paper 310.Google Scholar
  33. 33.
    Chow GH, Hohl M. Osteoarthritis of the knee following tibial plateau fracture: A survivorship analysis. Presented at AAOS Annual Meeting; 1992: Paper 52.Google Scholar
  34. 34.
    Bomler J, Arnoldi C. Resurfacing of depression fractures of the lateral tibial condyle. Acta Orthop Scand. 1981;52:231–232.PubMedCrossRefGoogle Scholar
  35. 35.
    Marmor L. The Marmor modular knee in traumatic arthritis. Orthop Rev. 1979;8:35–40.Google Scholar
  36. 36.
    Roffi RP, Merritt PO. Total knee replacement after fractures about the knee. Orthop Rev. 1990;19:614–620.PubMedGoogle Scholar
  37. 37.
    Brooks PJ, Walker PS, Scott RD. Tibial component fixation in deficient tibial bone stock. Clin Orthop Relat Res. 1984;184:302–308.PubMedGoogle Scholar
  38. 38.
    Dorr LD, Ranawat CS, Sculco TA, et al. Bone graft for tibial defects in total knee arthroplasty. Clin Orthop Relat Res. 1986;205:153–165.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1994

Authors and Affiliations

  • John M. Siliski
  • Frank X. PedlowJr.

There are no affiliations available

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