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

Zaiets V.B.

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

May 16, 2023

1179

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

1. Athwal K.K., Daou H.E., Inderhaug E. et al. (2017) An in vitro analysis of medial structures and a medial soft tissue reconstruction in a constrained condylar total knee arthroplasty. Knee Surg. Sports Traumatol. Arthrosc., 25(8): 2646–2655.
2. Gebhard J.S., Kilgus D.J. (2010) Dislocation of a posterior stabilized total knee prosthesis. A report of two cases. Clin. Orthop. Relat. Res., 254: 225–229.
3. Ostermeier S., Friesecke C., Fricke S. et al. (2008) Quadriceps force during knee extension after non-hinged and hinged TKA: an in vitro study. Acta Orthop., 79(1): 34–38.
4. Wang C.J., Wang H.E. (2011) Early catastrophic failure of rotating hinge total knee prosthesis. J. Arthroplasty, 15: 387–391.
5. Mahomed N.N., Barrett J., Katz J.N. et al. (2007) Epidemiology of total knee replacement in the United States medicare population. J. Bone Joint Surg. Am., 1222–1228.
6. Kanamiya T., Whiteside L.A., Nakamura T. et al. (2012) Effect of selective lateral ligament release on stability in knee arthroplasty. Clin. Orthop. Rel. Res., 404: 24–31.
7. Engh G.A. (2007) Bone loss classification. In: G.A. Engh, C.H. Rorabeck (Eds.) Revision total knee arthroplasty. Williams and Wilkins, Baltimore, 63120.
8. Jones R.E. (2009) Total knee arthroplasty with modular rotating platform hinge.Orthopedics, 29(Suppl. 9): S80–S82.
9. Vasso M., Beaufils P., Panni A.S. (2013) Constraint choice in revision knee arthroplasty. Int. Orthop., 37(7): 1279–1284.
10. Whiteside D.R., Westrich G.H., Molano A.V. et al. (2010) Rotating hinge total knee arthroplasty affected knees. Clin. Orthop. Relat. Res., 379: 195–208.
11. Lachiewicz P.F., Soileau E.S. (2011) Results of a second-generation constrained condylar prosthesis in primary total knee arthroplasty. J. Arthroplasty, 26(8): 1228–1231. doi: 10.1016/j.arth.2011.05.010.
12. Can A., Erdogan F., Erdogan A.O. (2017) Tibiofemoral Instability After Primary Total Knee Arthroplasty: Posterior-Stabilized Implants for Obese Patients. Orthopedics, 40(5): e812–e819. doi: 10.3928/01477447-20170608-02.
13. Mullaji A.B., Shetty G.M., Lingaraju A.P., Bhayde S. (2013) Which factors increase risk of malalignment of the hipknee-ankle axis in TKA? Clin. Orthop. Relat. Res., 4(71): 134–141.
14. Ranawat C.S., Flynn W.F.Jr., Deshmukh R.G. (2014) Impact of modern technique on long- term results of total condylar knee arthroplasty. Clin. Orthop. Relat. Res., 309: 131–135.
15. Tahmasebi M.N., Amjad G.G., Bashti K. (2017) Total Knee Arthroplasty in Severe Unstable Knee: CaseReport and Literature Review. Arch. Bone Jt. Surg., 5(1): 58–62.
16. McAuley J.P., Engh G.A. (2003) Constraint in total knee arthroplasty: when and what? J. Arthroplasty, 18(3 Suppl. 1): 51–54.
17. Malcolm T.L., Bederman S.S., Schwarzkopf R. (2016) Outcomes of Varus Valgus Constrained Versus Rotating-Hinge Implants in Total Knee Arthroplasty. Orthopedics, 39(1): e140–e148. doi: 10.3928/01477447-20151228-07.
18. Huff T.W., Sculco T.P. (2007) Management of bone loss in revision total knee arthroplasty. J. Arthroplasty, 22(7 Suppl. 3): 32–36.
19. Girard J., Amzallag M., Pasquier G. et al. (2013) Total knee arthroplasty in valgus knees: predictive preoperative parameters influencing a constrained design selection. Orthop. Traumatol. Surg. Res., 95: 260–266.
20. Bohm P., Holy T. (2008) Is there a future for hinged prostheses in primary total knee arthroplasty? J. Bone Joint Surg. Br., 80: 302–309.
21. Cholewinski P., Putman S., Vasseur L. et al. (2015) Long-term outcomes of primary constrained condylar knee arthroplasty. Orthop. Traumatol. Surg. Res., 101(4): 449–454.
22. Hartford J.M., Goodman S.B., Schurman D.J., Knoblick G. (2008) Complex primary and revision total knee arthroplasty using the condylar constrained prosthesis: an average 5-year follow-up. J. Arthroplasty, 13: 380–387.