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Aloplasty of an ankylosed knee in a patient with severe haemophilia A
Affiliations- Orthopaedic Ward, Cracow Center of Rehabilitation and Orthopaedics, Cracow, Poland
- Hematology Department, University Hospital in Cracow, Poland
- Rehabilitation Ward, Cracow Center of Rehabilitation and Orthopaedics, Cracow, Poland
- Rehabilitation Clinic, Institute of Physiotherapy, Jagiellonian University – Collegium Medicum, Cracow, Poland
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Abstract
The goal of this report is to describe a case of knee arthroplasty in a patient with over a 20 year long history of ankylosis of the left knee joint in the course of severe haemophilia A. Clinical and functional conditions were assessed by means of a Knee Society Score (KSS); pain intensity by Visual Analogue Scale (VAS); and intensity of degeneration of bone forming the joint by means of the Kellgren-Lawrence Scale. ROM of the knee joint before and after the operation was measured. We used hinge prosthesis of S-ROM by De Puy to restore the knee joint. As a result of the operation we got axial alignment of the limb. During two years of clinical follow-up, the patient achieved increasing mobility of the operated knee, full extension, and 80 degrees of active flexion. There were no radiological signs of loosening of the implant. The patients’ functional capabilities improved significantly; and pain occurred only occasionally.
Abstract
The goal of this report is to describe a case of knee arthroplasty in a patient with over a 20 year long history of ankylosis of the left knee joint in the course of severe haemophilia A. Clinical and functional conditions were assessed by means of a Knee Society Score (KSS); pain intensity by Visual Analogue Scale (VAS); and intensity of degeneration of bone forming the joint by means of the Kellgren-Lawrence Scale. ROM of the knee joint before and after the operation was measured. We used hinge prosthesis of S-ROM by De Puy to restore the knee joint. As a result of the operation we got axial alignment of the limb. During two years of clinical follow-up, the patient achieved increasing mobility of the operated knee, full extension, and 80 degrees of active flexion. There were no radiological signs of loosening of the implant. The patients’ functional capabilities improved significantly; and pain occurred only occasionally.
Keywords
Knee aloplasty; Rotating-hinge type prosthesis; Haemophilia; Ankylosis
About this articleTitle
Aloplasty of an ankylosed knee in a patient with severe haemophilia A
Journal
Issue
Pages
212-216
Published online
2017-07-01
DOI
10.1016/j.achaem.2017.07.008
Bibliographic record
Acta Haematol Pol 2017;48(3):212-216.
Keywords
Knee aloplasty
Rotating-hinge type prosthesis
Haemophilia
Ankylosis
Authors
Jerzy Mirosław Jaworski
Adam Zawojski
Joanna Zdziarska
Krzysztof Czernicki
Magdalena Wilk-Frańczuk