Long-term results of total knee arthroplasty in young patients with rheumatoid arthritis

被引:35
作者
Crowder, AR [1 ]
Duffy, GP [1 ]
Trousdale, RT [1 ]
机构
[1] Mayo Clin Jacksonville, Dept Orthoped, Jacksonville, FL 32224 USA
关键词
total knee arthroplasty; rheumatoid arthritis; young patients; long-term follow-up; PROXIMAL TIBIAL OSTEOTOMY; FOLLOW-UP; REPLACEMENT; OSTEOARTHRITIS; 10-YEAR; SYSTEM; OLD; AGE;
D O I
10.1016/j.arth.2005.05.020
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
Forty-seven cemented total knee arthroplasties in 32 patients with rheumatoid arthritis who were 55 years or younger (average, 43) were followed until death or a minimum of 15 years. The average follow-up was 18 years. There were 6 revisions; 5 of 6 revisions had severe polyethylene wear and osteolysis. All revisions occurred after 17 years (range, 17-23). Three of these had fracture of the tibial component associated with polyethylene wear through; the remaining 2 had loose tibial and femoral components. One patient sustained a distal femoral periprosthetic fracture requiring revision of the total knee. Cemented total knee arthroplasty in the young patient with rheumatoid arthritis is reliable and durable at an average 18 years of follow-up with an estimated survivorship of 100% at 15 years and 93.7% at 20 years.
引用
收藏
页码:12 / 16
页数:5
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