Abstract
Seventy-seven anatomically graduated components (AGC) total knee arthroplasties (TKA) were performed on 52 patients with juvenile chronic arthritis. According to the nature of previous surgery on the knee, the patients were subdivided into three groups. The mean age at onset of disease in 23 patients with previous synovectomy of the knee was 11 (1.5–16) years, the mean age at the time of synovectomy was 20 (4–42) and the mean age when arthroplasty was performed was 31 (18–45) years. In nine patients with previous epiphyseal stapling, the mean age at disease onset was 4 (1.5–8) years, at stapling 8 (4–16) years, and at arthroplasty 23 (18–30) years. In patients with no previous surgery, the mean age at disease onset in this group was 7 (1.5–16) years and the mean age at arthroplasty 34 (16–64) years. Patients with need for epiphyseal arrest had an early disease onset and knee replacement in early adulthood. The mean age at knee replacements was highest in the group with no prior surgery.
Résumé
77 arthroplasties totales du genou total (TKA) de type AGC ont été exécutées sur 52 malades avec arthrite chronique juvénile. D’après la nature de la chirurgie précédente sur le genou les malades ont été divisés en trois groupes. L’âge moyen du début de la maladie chez les 23 malades avec synovectomie était de 11 (1,5–16) années, l’âge moyen au temps de la synovectomie était de 20 (4–42) ans et l’âge moyen quand l’arthroplastie a été exécuté était de 31 (18–45) ans. Pour 9 malades avec agrafage epiphysaire, l’âge moyen au début de la maladie était de 4 (1,5–8) ans, avec 8 (4–16) ans à l’agrafage et 23 (18–30) à l’arthroplastie. Pour les malades sans chirurgie précédente, l’âge moyen au début de la maladie était de 7 (1,5–16) ans et l’âge moyen à l’arthroplastie de 34 (16–64) ans. Les malades ayant eu besoin d’un blocage épiphysaire avaient un début de la maladie précoce et un remplacement précoce du genou à l’âge adulte . L’âge moyen au remplacement du genou était plus élevé dans le groupe sans chirurgie précédente.
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The authors thank Hannu Kautiainen for statistical analysis.
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Study conducted at Rheumatism Foundation Hospital, Heinola, Finland.
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Lybäck, C.O., Belt, E.A., Savolainen, H.A. et al. Previous synovectomy or epiphyseal stapling and the influence on knee replacement in juvenile chronic arthritis. International Orthopaedics (SICOT) 28, 134–137 (2004). https://doi.org/10.1007/s00264-004-0538-1
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DOI: https://doi.org/10.1007/s00264-004-0538-1