ABSTRACT
The purpose of the study was to assess the effect of the joint line position in a posterior cruciate ligament-retaining, mobile-bearing total knee arthroplasty (TKA). Seventy-six consecutive TKAs performed by 1 surgeon were prospectively assessed for a minimum of 2.5 years. Posterior cruciate ligament-retaining, mobile-bearing TKA was performed in all cases. The joint line was elevated 1 mm on average (range, -11 to +10). There was no correlation between joint line position and range of motion, knee function scores, knee pain scores, or patellar height. The joint line position in a posterior cruciate-retaining, mobile-bearing (LCS AP Glide; DePuy, Leeds, United Kingdom) TKA did not affect the early clinical results.
Subject(s)
Arthroplasty, Replacement, Knee/instrumentation , Arthroplasty, Replacement, Knee/methods , Knee Joint/diagnostic imaging , Knee Joint/surgery , Knee Prosthesis , Aged , Aged, 80 and over , Arthralgia/diagnostic imaging , Arthralgia/physiopathology , Arthralgia/prevention & control , Bone Malalignment/diagnostic imaging , Bone Malalignment/physiopathology , Bone Malalignment/prevention & control , Female , Follow-Up Studies , Humans , Knee Joint/physiology , Male , Middle Aged , Posterior Cruciate Ligament/surgery , Prospective Studies , Radiography , Range of Motion, Articular/physiology , Treatment OutcomeABSTRACT
Posterior fossa dural arteriovenous fistulae (DAVF) are uncommon lesions. In the past, treatment of these lesions has involved both surgical and endovascular techniques, the latter being favoured in contemporary neurovascular medicine. We describe our experience in the case of a 71-year-old woman with a posterior fossa DAVF who presented with sudden onset headache, collapse and neurological deficit secondary to a subarachnoid haemorrhage. She was treated by means of direct surgical access of the lesion combined with endovascular occlusion resulting in a radiological and clinical cure.
