Total Knee Arthroplasty for Osteoarthritis Secondary to Fracture of the Tibial Plateau. A Prospective Matched Cohort Study

被引：65

作者：

Lizaur-Utrilla, Alejandro ^{[1
]}

Collados-Maestre, Isabel ^{[1
]}

Miralles-Munoz, Francisco A. ^{[1
]}

Lopez-Prats, Fernando A. ^{[2
]}

机构：

[1] Elda Univ Hosp, Dept Orthopaed Surg, Alicante 03600, Spain

[2] Miguel Hernandez Univ, Dept Orthopaed Surg, Fac Med, Alicante, Spain

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 08期

关键词：

posttraumatic osteoarthritis; tibial plateau fracture; total knee arthroplasty; ARTHRITIS; HIP;

D O I：

10.1016/j.arth.2015.02.032

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A prospective matched cohort study was performed to compare outcomes of total knee arthroplasties (TKA) between 29 patients with posttraumatic osteoarthritis (POA) after a fracture of tibial plateau and 58 patients underwent routine TKA. Mean follow-up was 6.7 years. There were no significant differences in KSS, WOMAC, SF12 scores or range of motion. In the control group there were no complications. In the posttraumatic group, complications occurred in 4 patients (13.7%) (P - 0.010) including partial patellar tendon detachment, superficial infection, skin necrosis, and knee stiffness. Only this last patient required revision for manipulation under anesthesia. Also, there was a revision for tibial aseptic loosening in each group. TKA is an effective treatment for POA after tibial plateau fracture. We recommend the prior removal of hardware, as well as tibial tubercle osteotomy when necessary. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1328 / 1332

页数：5

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