Treatment of Postoperative Instability Following Total Knee Arthroplasty in Patients With Parkinson's Disease.
Arthroplast Today
; 25: 101273, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38229869
ABSTRACT
Acute postoperative posterior total knee arthroplasty (TKA) dislocation is rare in primary surgery but has been associated with Parkinson's disease (PD). We present a 77-year-old woman with knee arthritis and PD who sustained an acute, recurrent TKA posterior dislocation, recalcitrant to polyethylene upsizing. Transient stability was obtained for a period of 1 year after postoperative hamstring injection with botulinum toxin A and short-term immobilization. Spontaneous instability recurred after 1 year, and stability was obtained with revision to a more constrained construct and has been monitored over a period of 2 years. This is the first report demonstrating the use of botulinum toxin A for acute posterior TKA instability associated with PD. We endorse the necessity of increased constraint to maintain long-term stability in patients with Parkinson's disease.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Arthroplast Today
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos