The results of tibial tubercle osteotomy for revision total knee arthroplasty

被引:59
作者
Mendes, MW
Caldwell, P
Jiranek, WA
机构
[1] Orthoped Res, Richmond, VA 23295 USA
[2] Virginia Commonwealth Univ, Coll Med, Dept Orthoped Surg, Richmond, VA 23284 USA
关键词
revision; total knee arthroplasty; exposure; osteotomy; complications;
D O I
10.1016/j.arth.2003.08.013
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
Tibial tubercle osteotomy was used in the Surgical exposure of 67 knees in 64 patients undergoing revision total knee arthroplasty. The clinical and radiographic results were reviewed retrospectively. The mean follow-tip time was 30 months (range, 5-60 months). Knee Society scores (KSS) confirmed good or excellent results in 87% of the knees, and the mean KSS was 86. The procedure was particularly effective in 2-stage exchanges for infected total knee arthroplasty, in which infection was eradicated in 9 of 10 cases, with a mean KSS of 82. In this series, no patellofemoral complications, no component malalignments, and no avulsions of the patellar tendon occurred. Serious complications directly related to the tibial tubercle osteotomy occurred in 5 patients (7%). (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:167 / 174
页数:8
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