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.
Hip arthrodesis Knee osteoarthritis Total knee arthroplasty Total hip arthroplasty
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Conflict of interest
The authors declare that they have no conflict of interest.
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)
Gore DR, Murray MP et al (1975) Walking patterns of knee with unilateral surgical hip fusion. J Bone Joint Surg 57A:759CrossRefGoogle Scholar
Callaghan JJ et al (1985) Hip arthrodesis: a long term followup. J Bone Joint Surg 67A:1328–1335CrossRefGoogle Scholar
Perugia L et al (1992) Conversion of the arthrodesed hip to a total hip arthroplasty. Ital J Orthop Traumatol 18:145–152PubMedGoogle Scholar
Sofue M et al (1989) Long term results of arthrodesis for severe osteoarthritis of the hip in young adults. Int Orthop 13:129–133CrossRefPubMedGoogle Scholar
Sponseller PD et al (1984) Hip arthrodesis in young patients. J Bone Joint Surg 66A:853–859CrossRefGoogle Scholar
Romness DW, Morrey BF (1992) Total Knee arthroplasty in patients with prior ipsilateral hip fusion. J Arthroplasty 7(1):63–70CrossRefPubMedGoogle Scholar
Garvin KL et al (1989) Contralateral total hip arthroplasty or ipsilateral total knee arthroplasty in patients who have a longstanding fusion of the hip. J Bone Joint Surg Am 71(9):1355–1362CrossRefPubMedGoogle Scholar
Rittmeister M, Starker M, Zichner L (2000) Hip and knee replacement after longstanding hip arthrodesis. Clin Orthop Relat Res 371:136–145CrossRefGoogle Scholar