The Journal of Bone and Joint Surgery, Vol 69, Issue 1 28-31, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Condylar total knee arthroplasty after failed proximal tibial osteotomy
JW Staeheli, JR Cass and BF Morrey
Data were collected retrospectively on thirty-five patients who had a
failed osteotomy of the proximal part of the tibia for unicompartmental
osteoarthrosis of the knee that was treated with a cruciate condylar, total
condylar, kinematic condylar, or cemented porous-coated anatomical total
knee prosthesis. The patients were evaluated clinically and
roentgenographically before and after the arthroplasty. The minimum period
of follow-up was twenty-nine months (mean, forty-four months). On the basis
of the knee-rating scale of The Hospital for Special Surgery, 89 per cent
of the patients had either an excellent or a good result after the
arthroplasty. No result was a failure. One patient had loosening of the
patellar component, but no other loosening was identified. The results of
total knee arthroplasty after osteotomy of the proximal part of the tibia
were found to be comparable with the results after arthroplasty in knees
that had not had a prior osteotomy. The intraoperative and postoperative
rates of complications were not higher, and no untoward technical
difficulties were encountered at surgery. These data support the clinical
impression that an osteotomy of the proximal part of the tibia does not
"burn any bridges" insofar as a future successful arthroplasty is
concerned.
CiteULike 
Connotea 
Del.icio.us 
Technorati What's this?
