RESUMO
We report a consecutive series of 16 revision total knee arthroplasties using the Total Condylar III system in 14 patients with inflammatory arthritis which were performed between 1994 and 2000. There were 11 women and three men with a mean age of 59 years (36 to 78). The patients were followed up for 74 months (44 to 122). The mean pre-operative Knee Society score of 37 points (0 to 77) improved to 88 (61 to 100) at follow-up (t-test, p < 0.001) indicating very good overall results. The mean range of flexion improved from 62 degrees (0 degrees to 120 degrees) to 98 degrees (0 degrees to 145 degrees) (t-test, p < 0.05) allowing the patients to stand from a sitting position. The mean Knee Society pain score improved from 22 (10 to 45) to 44 (20 to 50) (t-test, p < 0.05). No knee had definite loosening, although five showed asymptomatic radiolucent lines. Complications were seen in three cases, comprising patellar pain, patellar fracture and infection. These results suggest that the Total Condylar III system can be used successfully in revision total knee arthroplasty in inflammatory arthritis.
Assuntos
Artrite Reumatoide/cirurgia , Artroplastia do Joelho/métodos , Prótese do Joelho , Adulto , Idoso , Artrite Reumatoide/fisiopatologia , Feminino , Seguimentos , Humanos , Articulação do Joelho/fisiopatologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Falha de Prótese , Amplitude de Movimento Articular , Reoperação/métodos , Método Simples-Cego , Resultado do TratamentoRESUMO
Apresenta-se um caso de um paciente de 54 anos com linfossarcoma sistemico, com acometimento difuso do colon. Foram feitas consideracoes sobre o aspecto clinico-radiologico do envolvimento do colon por linfomas
