REPLACEMENT OF FEMORAL AND TIBIAL CONDYLES DEFECTS BY RECYCLING BONE AUTOGRAFTS IN PRIMARY KNEE JOINT ENDOPROSTHETICS IN PATIENT WITH RHEUMATOID ARTHRITIS (CLINICAL OBSERVATION)

V.V Karelkin; E.A Zemlyanskaya; A.Y Kochish; G.V Berezin

V.V Karelkin Vreden National Medical Research Center of Traumatology and Orthopedics,
E.A Zemlyanskaya Vreden National Medical Research Center of Traumatology and Orthopedics
A.Y Kochish Vreden National Medical Research Center of Traumatology and Orthopedics,
G.V Berezin Vreden National Medical Research Center of Traumatology and Orthopedics

Keywords: knee arthroplasty, rheumatoid arthritis, bone autoplasty, cystic remodeling.

Abstract

The issue of bone tissue defects compensation in primary knee joint arthroplasty is quite commonly observed
in patients with rheumatoid pathology. This issue leads to technical difficulties at the stage of surgery and
consequently accompanies by unsatisfactory treatment results. The authors presented clinical experience of
treating a patient suffering from polyarticular rheumatoid arthritis with predominant damage to the knee joints,
against a background of massive cystic remodeling of bone tissue of tibial and femoral condyles. In addition to
surgical treatment in the volume of knee joint endoprosthetics, the femoral and tibial condyles defects were
replaced with autologous bone tissue. Application of this treatment method demonstrated good functional results
such as pain relief, restoration of anatomical axis of the lower extremity and increase in knee joint movement
amplitude. Postoperative follow-up of the patient showed restructuring of the bone autoplasty areas three months
after the surgery. Presented clinical observation supplemented by the review of current medical periodicals can be
recommended for the treatment of deforming knee joint osteoarthritis in patients with rheumatoid arthritis.

References

1. Kornilov N.N., Kuljaba T.A., Fil' A.S., Murav'jova Ju.V. Dannye registra jendoprotezirovanija kolennogo sustava RNIITO im. R.R. Vredena za 2011-2013 gody. Travmatologija i ortopedija Rossii. 2015;(1):136-151. https://doi.org/10.21823/2311-2905-2015-0-1-136-151
2. Bovkis G.Ju., Kuljaba T.A., Kornilov N.N. Kompensacija defektov metajepifizov bedrennoj i bol'shebercovoj kostej pri revizionnom jendoprotezirovanii kolennogo sustava- sposoby i rezul'taty ih primenenija (obzor literatury). Travmatologija i ortopedija Rossii. 2016;(2):101-113. https://doi.org/10.21823/2311-2905-2016-0-2-101-113
3. Gavrilov M.A., Girkalo M.V., Morozov V.P., Jamshhikov O.N., Hachatrjan A.G., Abdulnasyrov R.K. Kombinirovannaja plastika kostnyh defektov metajepifizov bol'shebercovoj i bedrennoj kostej pri total'noj artroplastike kolennogo sustava. Vestnik Tomskogo gosudarstvennogo universiteta. 2011;6(6):1520-1525.
4. Kornilov N.N., T.A.Kuljaba, R.M.Tihilov, A.V.Kazemirskij, A.V.Selin, A.I.Pechinskij, A.I.Petuhov, I.I.Kroitoru, A.V.Saraev. Zameshhenie kostnyh defektov pri pervichnom jendoprotezirovanii kolennogo sustava. Travmatologija i ortopedija Rossii.2008; 1(47): 76- 81.
5. Sohn J.M., In Y., Jeon S.H., Nho J.Y., Kim M.S. Autologous Impaction Bone Grafting for Bone Defects of the Medial Tibia Plateau During Primary Total Knee Arthroplasty: Propensity Score Matched Analysis With a Minimum of 7-Year Follow-Up. J Arthroplasty. 2018 Aug;33(8):2465-2470. doi: 10.1016/j.arth.2018.02.082.
6. Dzhigkaev A.H., Kazemirskij A.V., Preobrazhenskij P.M. Opyt primenenija modul'nyh blokov dlja zameshhenija kostnyh defektov medial'nogo myshhelka pri pervichnom jendoprotezirovanii kolennogo sustava.Travmatologija i ortopedija Rossii. 2012;(1):22-29. https://doi.org/10.21823/2311-2905- 2012-0-1-26-31
7. Hosaka K., Saito S., Oyama T., Fujimaki H., Cho E., Ishigaki K., Tokuhashi Y.Union. Knee Alignment, and Clinical Outcomes of Patients Treated With Autologous Bone Grafting for Medial Tibial Defects in Primary Total Knee Arthroplasty.Orthopedics. 2017 Jul 1;40(4):e604-e608. doi: 10.3928/01477447-20170418-01.
8. Liu S., Wang S., Wu T., Fan Z., Zhang Y., Rao Y. Tan M.Short-term effectiveness of bone cement combined with screws for repairing tibial plateau defect
in total knee arthroplasty.Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Sep 1;31(9):1055-1058. doi: 10.7507/1002-1892.201704016.
9. Rajani A.M., Kumar R., Shyam A.Huge Subchondral Cyst Communicating with Medulary Canal of Femur in OA Knee-Treated by Extension Stem and Bone Grafting.J Orthop Case Rep. 2014 AprJun;4(2):81-4. doi: 10.13107/jocr.2250-0685.175.

REPLACEMENT OF FEMORAL AND TIBIAL CONDYLES DEFECTS BY RECYCLING BONE AUTOGRAFTS IN PRIMARY KNEE JOINT ENDOPROSTHETICS IN PATIENT WITH RHEUMATOID ARTHRITIS (CLINICAL OBSERVATION)

Abstract

References

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