Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report
Background. Total knee arthroplasty in patients in the residual stage of poliomyelitis is a technically difficult job. The reasons for this are anatomical features and therefore difficulties in an implant choice and conflicting results. In the present case report, we describe a unique method of a co...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2024-12-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
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| Online Access: | https://journal.rniito.org/jour/article/viewFile/17454/pdf |
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| author | Valery Y. Murylev Semen S. Alekseev Grigory A. Kukovenko Pavel M. Elizarov Dmitriy O. Golubkin Aleksey V. Muzychenkov |
| author_facet | Valery Y. Murylev Semen S. Alekseev Grigory A. Kukovenko Pavel M. Elizarov Dmitriy O. Golubkin Aleksey V. Muzychenkov |
| author_sort | Valery Y. Murylev |
| collection | DOAJ |
| description | Background. Total knee arthroplasty in patients in the residual stage of poliomyelitis is a technically difficult job. The reasons for this are anatomical features and therefore difficulties in an implant choice and conflicting results. In the present case report, we describe a unique method of a computer-navigated installation of a rotating-hinge implant in a non-standard position for a patient with residual poliomyelitis.
The aim of the study is to demonstrate a method of a computer-navigated installation of rotating-hinge knee implants in a patient with severe hyperextension and valgus deformity in the residual stage of poliomyelitis.
Case description. The clinical case presents a 55-year-old man with lower peripheral paraparesis as a consequence of poliomyelitis and bilateral valgus knee arthritis with severe hyperextension. The patient moved on crutches at a distance no more than 300 meters. Two-stage total knee arthroplasty was performed using a navigation system and second-generation rotating-hinge implants. At the 4-year follow-up period, we note a good clinical result, and the patient is satisfied with the total knee arthroplasty outcomes.
Conclusion. The clinical case demonstrates good results of performing total knee arthroplasty in a patient with bilateral severe hyperextension and knee valgus deformity in residual poliomyelitis. Having analyzed available topic-related literature, we developed an original method of a computer-navigated installation of a second-generation rotating-hinge implant. The method can be an effective treatment solution for patients with knee arthritis deformity in the residual stage of poliomyelitis. |
| format | Article |
| id | doaj-art-714269b63bfc47218ebe1b8415d87c02 |
| institution | Kabale University |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| publishDate | 2024-12-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj-art-714269b63bfc47218ebe1b8415d87c022025-01-20T02:43:24ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332024-12-0130411412310.17816/2311-2905-174541370Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case reportValery Y. Murylev0https://orcid.org/0000-0001-5753-8926Semen S. Alekseev1https://orcid.org/0000-0001-7599-7472Grigory A. Kukovenko2https://orcid.org/0000-0001-6700-0222Pavel M. Elizarov3https://orcid.org/0000-0002-0217-2434Dmitriy O. Golubkin4https://orcid.org/0000-0003-3293-0918Aleksey V. Muzychenkov5https://orcid.org/0000-0002-3933-672XI.M. Sechenov First Moscow State Medical University (Sechenov University)S.P. Botkin Moscow City Clinical HospitalI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Background. Total knee arthroplasty in patients in the residual stage of poliomyelitis is a technically difficult job. The reasons for this are anatomical features and therefore difficulties in an implant choice and conflicting results. In the present case report, we describe a unique method of a computer-navigated installation of a rotating-hinge implant in a non-standard position for a patient with residual poliomyelitis. The aim of the study is to demonstrate a method of a computer-navigated installation of rotating-hinge knee implants in a patient with severe hyperextension and valgus deformity in the residual stage of poliomyelitis. Case description. The clinical case presents a 55-year-old man with lower peripheral paraparesis as a consequence of poliomyelitis and bilateral valgus knee arthritis with severe hyperextension. The patient moved on crutches at a distance no more than 300 meters. Two-stage total knee arthroplasty was performed using a navigation system and second-generation rotating-hinge implants. At the 4-year follow-up period, we note a good clinical result, and the patient is satisfied with the total knee arthroplasty outcomes. Conclusion. The clinical case demonstrates good results of performing total knee arthroplasty in a patient with bilateral severe hyperextension and knee valgus deformity in residual poliomyelitis. Having analyzed available topic-related literature, we developed an original method of a computer-navigated installation of a second-generation rotating-hinge implant. The method can be an effective treatment solution for patients with knee arthritis deformity in the residual stage of poliomyelitis.https://journal.rniito.org/jour/article/viewFile/17454/pdftotal knee arthroplastypoliomyelitishyperextensionvalgus deformitycomputer navigation |
| spellingShingle | Valery Y. Murylev Semen S. Alekseev Grigory A. Kukovenko Pavel M. Elizarov Dmitriy O. Golubkin Aleksey V. Muzychenkov Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report Travmatologiâ i Ortopediâ Rossii total knee arthroplasty poliomyelitis hyperextension valgus deformity computer navigation |
| title | Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report |
| title_full | Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report |
| title_fullStr | Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report |
| title_full_unstemmed | Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report |
| title_short | Computer-assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis: a case report |
| title_sort | computer assisted total bilateral knee arthroplasty for a patient with severe hyperextension in residual poliomyelitis a case report |
| topic | total knee arthroplasty poliomyelitis hyperextension valgus deformity computer navigation |
| url | https://journal.rniito.org/jour/article/viewFile/17454/pdf |
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