ABSTRACT
There is a paucity of information detailing functional outcome following total knee arthroplasty for this length of follow-up. We collected data from 187 knees in 150 surviving patients, beyond 15 years from implantation. Survival of the implant was confirmed and a patient administered questionnaire including WOMAC, SF-36 and patient satisfaction was used, data was scrutinised for differences between primary and revision knee surgery. Seventy knees were revised at a mean of 10.8 years. The mean WOMAC Pain score was 72 indicating predominantly mild pain. The mean WOMAC Function scores were lower at 55 indicating moderate limitation of most activities. No significant differences were found between revised and un-revised patients. Long-term pain and satisfaction scores in this population were good illustrating the benefits of TKA in the long term even in patients who have undergone revision surgery.
Subject(s)
Arthroplasty, Replacement, Knee , Outcome Assessment, Health Care , Activities of Daily Living , Aged , Arthritis, Rheumatoid/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Osteoarthritis, Knee/surgery , Pain Measurement , Patient Satisfaction , Quality of Life , Reoperation/statistics & numerical data , Surveys and Questionnaires , United KingdomABSTRACT
A case of chondral injury after medial meniscal repair with a headless bioabsorbable screw is reported. As these implants can take a long time to be absorbed, all arthroscopic surgeons should be aware of possibility of this complication during this period.
Subject(s)
Absorbable Implants/adverse effects , Anterior Cruciate Ligament/surgery , Bone Screws/adverse effects , Menisci, Tibial/surgery , Tibial Meniscus Injuries , Adolescent , Anterior Cruciate Ligament Injuries , Arthroscopy , Humans , Male , Recurrence , ReoperationABSTRACT
We report a case of tibial cyst formation twelve months after anterior cruciate ligament reconstruction using hamstring graft. A composite bioabsorbable interference screw made of 'beta tricalcium phosphate and poly L-lactide' fixed the graft distally. The patient presented with acute symptoms of pain and swelling over the proximal tibia. Curettage of the cyst resulted in complete recovery within 3 months.
Subject(s)
Absorbable Implants/adverse effects , Anterior Cruciate Ligament Injuries , Anterior Cruciate Ligament/surgery , Bone Diseases/diagnostic imaging , Bone Diseases/etiology , Bone Screws/adverse effects , Cysts/diagnostic imaging , Cysts/etiology , Plastic Surgery Procedures/adverse effects , Postoperative Complications , Tibia/diagnostic imaging , Tibia/pathology , Adult , Bone Diseases/pathology , Cysts/pathology , Female , Humans , RadiographyABSTRACT
An unusual case of tuberculosis of the lower end of the fibula in a young patient is reported. The patient presented with symptoms of pain and swelling over the outer aspect of the right ankle with full range of painless ankle movements. The plain radiographs of the ankle were normal but MRI scan showed increased signals within the lower end of the fibula on T2-weighted images. The histology of the lesion showed only a few Langhans giant cells and culture failed to grow any organism. Polymerase chain reaction analysis of the biopsy specimen, however, showed growth of Mycobacterium tuberculosis. The patient responded to antitubercular treatment with complete resolution of symptoms. Polymerase chain reaction analysis should be considered in atypical presentations with bone pain to rule out an occult infectious pathology.