Total knee arthroplasty in patients with prior ipsilateral hip arthrodesis

  • Borja de la Hera
  • Rafael Rubio-Quevedo
  • Angeles Gomez-Garcia
  • Alejandro Gomez-Rice
Technical Note • KNEE - ARTHROPLASTY
  • 216 Downloads

Abstract

Only a few articles based on the management of symptomatic knee osteoarthritis in patients with prior ipsilateral hip arthrodesis have been reported, and there are no clear criteria for the best treatment option [to carry out a total knee arthroplasty (TKA)—or to take down the hip fusion and conversion to a total hip arthroplasty—THA, and after that to carry out the TKA]. We report two cases, a 72-year-old male who underwent a left hip arthrodesis at 28 because of a trauma and a 51-year-old woman who underwent a left hip arthrodesis at 9 years because of a congenital dislocation. They presented severe ipsilateral symptomatic knee osteoarthritis. Once the cases were studied and the two therapeutic possibilities were evaluated, we decided to perform TKA. Currently, both patients have no pain, a stable knee with good range of motion and without aseptic loosening radiologic criteria.

Keywords

Hip arthrodesis Knee osteoarthritis Total knee arthroplasty Total hip arthroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Video 1: Case 1

Video shows gait pattern 11 years after surgery. (MP4 9485 kb)

Video 2: Case 2

Video shows gait pattern 1 year after surgery. (MP4 9692 kb)

Video 3: Case 3

Video shows gait pattern 1 year after surgery without shoes. (MP4 18379 kb)

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Copyright information

© Springer-Verlag France SAS 2017

Authors and Affiliations

  1. 1.Hospital Universitario de GetafeGetafeSpain

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