Posttraumatic Arthritis After Intra-Articular Distal Femur and Proximal Tibia Fractures

被引:22
作者
Davis, Jacob T. [1 ,2 ,3 ]
Rudloff, Matthew, I [1 ,2 ,3 ]
机构
[1] Univ Tennessee, Dept Orthopaed Surg & Biomed Engn, Campbell Clin, 1211 Union Ave,Suite 520, Memphis, TN 38104 USA
[2] Reg One Hlth Med Ctr, 877 Jefferson Ave, Memphis, TN 38103 USA
[3] Campbell Fdn, 1211 Union Ave,Suite 500, Memphis, TN 38104 USA
关键词
Posttraumatic arthritis; Intra-articular fracture; Knee; Tibial plateau; Distal femur; TOTAL KNEE ARTHROPLASTY; PLATEAU FRACTURES; FEMORAL FRACTURES; FOLLOW-UP; CONDYLAR FRACTURES; DEGENERATIVE ARTHRITIS; FUNCTIONAL OUTCOMES; INTERNAL-FIXATION; SYNOVIAL-FLUID; OPEN REDUCTION;
D O I
10.1016/j.ocl.2019.06.002
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
Posttraumatic Arthritis (PTA) is a form of joint degeneration that occurs after physical trauma to a synovial joint. Development of PTA is multifactorial and results from mechanical damage at the time of trauma, a cell mediated inflammatory response, and abnormal articulation due to persistent malalignment or joint instability. Though some risk factors may be unavoidable, preventing the development of PTA of the knee after intra-articular fracture (IAF) requires restoring anatomic articulation and alignment. Reconstruction with total knee arthroplasty (TKA) is the treatment of choice for PTA and may be a useful primary treatment for IAF in some.
引用
收藏
页码:445 / +
页数:16
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