Artroplastia total de rodilla en pacientes con artritis reumatoide / Total knee arthroplasty in patients with rheumatoid arthritis
Rev. méd. Chile
;
132(3): 337-345, mar. 2004. ilus, tab, graf
Article
in Spanish
| LILACS
| ID: lil-384176
RESUMO
Background:
Approximately 90 percent of patients with rheumatoid arthritis (RA) will have one or both knees involved during the course of the disease. Total knee arthroplasty (TKA) allows restoring function and relieving pain satisfactorily, but these patients perform in a different way than those with primary knee osteoarthritis.Aim:
To evaluate the clinical and radiographic results of TKA in patients with RA. Patients andmethods:
We analyzed retrospectively the data of 25 posterior stabilized total knee prostheses in 19 patients, available to an average follow-up of 6 years. The scores of Hospital for Special Surgery and of the Knee Society were used for clinical assessment.Results:
The mean Hospital for Special Surgery score increased from 44 points (range 27-58) preoperatively to 80 points (range 58-91) at the final follow-up examination. Two prostheses required revision and removal of the implants because of deep infection, and two had clinical failure as defined by the Knee Society score. There were no cases of implant loosening.Discussion:
Even though it is not free of complications, TKA is a good choice in patients with RA in the medium term follow up, with 80 percent of excellent and good results in our series (Rev MÚd Chile 2004; 132 337-45).
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Arthritis, Rheumatoid
/
Arthroplasty, Replacement, Knee
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2004
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
Similar
MEDLINE
...
LILACS
LIS