Case report: Bilateral total knee replacement in severe knee osteoarthritis

Anwarali Khan, Mohammed Harris and Zulkifly, Ahmad Hafiz and Noor Rahin, Mohd. Shahidan (2016) Case report: Bilateral total knee replacement in severe knee osteoarthritis. In: 46th Malaysian Orthopaedic Association Annual General Meeting/Annual Scientific Meeting & 10th ASEAN Arthroplasty Association Meeting, 26th-28th May 2016, Johot Bahru. Johor. (Unpublished)

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Abstract

Introduction 40 years old malay gentleman with underlying gout and hyper tension presented with chief complaint of bilateral knee pain for 10 years duration. He was walking with limping gait and unable to squat or sit cross legs. Pain had been increasing for the last 5 years. He was dependent on analgesia. Since pain was worsening patient was on wheelchair ambulation. On examination patient right knee, no swelling, fixed flexion at 10 degree, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity. Left knee had fixed flexion at 5 degree, range of movement 5-100 degree and varus deformity. Blood investigation showed uric acid. Xray of bilateral knee showed reduced joint space, and sclerotic bone. Methods Patient underwent bilateral total knee replacement. Left total knee replacement was done followed with right total knee replacement after 5 months. Intraoperatively left knee noted intraarticular loose bodies and uncontained posteromedial defect which was build up with bone (screw fixation) and bone grafting. Intraoperatively right knee noted posteromedial defect over tibial articular surface, incomplete iatrogenic fracture over medial tibial plateau, augmented with 5mm metal block over medial tibial plateau, bone quality was good, sclerotic bone over medial tibia plateau and multiple holes was drill over the sclerotic bone. Discussions Post operatively wound was clean. Patient was discharge well with oral antibiotic. He was advised for non-weight bearing for 3 months. He was referred to physiotherapy for range of motion exercises. 1 year post operatively patient able to ambulate with walking stick. Pain score improved. Functional and knee score is good. Range of movement bilateral knee are 0-100 degree. Conclusion Outcome shows that total knee replacement is a reproducible surgery for which a trained surgeon will be able to produce excellent and good results.

Item Type:	Conference or Workshop Item (Poster)
Additional Information:	2397/62576
Uncontrolled Keywords:	Bilateral total knee replacement, knee osteoarthritis
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Dr Mohd Shahidan Noor Rahin
Date Deposited:	02 Apr 2018 14:52
Last Modified:	02 Apr 2018 14:52
URI:	http://irep.iium.edu.my/id/eprint/62576

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