Complications of primary knee arthroplasty in patients with ligament instability and post-traumatic gonarthrosis

Zaiets V.B.

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Complications of primary knee arthroplasty in patients with ligament instability and post-traumatic gonarthrosis

May 16, 2023

1167

Orthopedics and Traumatology

Zaiets V.B.

Keywords :

knee joint instability,

osteoarthritis of knee joint,

total knee arthroplasty

Specialities :

Orthopedics and Traumatology

Resume

Total knee arthroplasty is a successful operation that significantly improves the patient’s quality of life. However, only 82–89% of patients are satisfied with the results of the operation, while others are disappointed with their expectations. 2.0–5.7% of knee endoprostheses require revision within 5 years. When instability of a pronounced degree or varus-valgus deformity, which cannot be eliminated by plastic surgery of the ligament apparatus, is detected, it is advisable to give preference to endoprostheses of a connected design. At the same time, the use of minimally connected endoprostheses while observing the indications for preservation of the capsular-ligamentous apparatus allows to achieve longer viability of implants. Use of posteriorly stabilized implants for primary total knee arthroplasty may prevent secondary instability in overweight patients.

References

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