de la Hera Borja, Rubio-Quevedo Rafael, Gomez-Garcia Angeles, Gomez-Rice Alejandro
Hospital Universitario de Getafe, Carretera de Toledo km 12.5, 28905, Getafe, Madrid, Spain.
Eur J Orthop Surg Traumatol. 2018 Apr;28(3):521-524. doi: 10.1007/s00590-017-2070-1. Epub 2017 Oct 27.
Only a few articles based on the management of symptomatic knee osteoarthritis in patients with prior ipsilateral hip arthrodesis have been reported, and there are no clear criteria for the best treatment option [to carry out a total knee arthroplasty (TKA)-or to take down the hip fusion and conversion to a total hip arthroplasty-THA, and after that to carry out the TKA]. We report two cases, a 72-year-old male who underwent a left hip arthrodesis at 28 because of a trauma and a 51-year-old woman who underwent a left hip arthrodesis at 9 years because of a congenital dislocation. They presented severe ipsilateral symptomatic knee osteoarthritis. Once the cases were studied and the two therapeutic possibilities were evaluated, we decided to perform TKA. Currently, both patients have no pain, a stable knee with good range of motion and without aseptic loosening radiologic criteria.
仅有少数关于既往同侧髋关节融合术患者症状性膝关节骨关节炎管理的文章被报道，并且对于最佳治疗方案（进行全膝关节置换术 - TKA，还是拆除髋关节融合并转换为全髋关节置换术 - THA，然后再进行 TKA）没有明确的标准。我们报告两例病例，一名 72 岁男性因创伤在 28 岁时接受了左髋关节融合术，一名 51 岁女性因先天性脱位在 9 岁时接受了左髋关节融合术。他们均出现了严重的同侧症状性膝关节骨关节炎。在对病例进行研究并评估了两种治疗可能性后，我们决定进行 TKA。目前，两名患者均无疼痛，膝关节稳定，活动范围良好，且无影像学上的无菌性松动标准。
