LONG-TERM RESULTS AFTER BONE PLASTY AT KNEE REPLACEMENT
R. M. Tikhilov , A. V. Kazemirsky , P. M. Preobrazhensky , I. I. Kroitoru , T. A. Kulyaba , N. N. Kornilov , A. Kh. Dzhigkaev , V. L. Ignatenko
Traumatology and Orthopedics of Russia ›› 2010, Vol. 16 ›› Issue (3) : 21 -27.
From 1999 to the present time in the Russian RITO n.a. R.R. Vreden 28 knee joint replacements were performed using bone autoplasty in patients with stage V aseptic necrosis of the tibial condyles. The control group included 150 patients who underwent knee arthroplasty using a standard technique. All the patients were monitored in the preoperative and postoperative periods in time from 3 to 7 years. Results of treatment were assessed using a 100-point Josef and Kaufman scale, as well as the scale of WOMAC. Among the patients were 128 (71,9%) women and 50 (28,1%) males, mean age was 67 years old. If comparing experimental and control groups in the preoperative period showed a significant difference, the postoperative results were identical. Bone autotransplantation during arthroplasty of the knee is a simple and effective method used in large defects condyles of the femur and tibia (more than 1/3 of the condyle, the depth of the defect over 10 mm).
bone autotransplantation / aseptic necrosis / bone defects / knee joint arthroplasty
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