Savin Liliana, Pinteala Tudor, Botez Paul, Miu Smaranda, Forna Norin, Mihailescu Dan, Popescu Dragos Cristian, Enescu George, Sirbu Paul Dan
Department of Orthopedics and Traumatology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania.
J Pers Med. 2023 Dec 13;13(12):1705. doi: 10.3390/jpm13121705.
Numerous studies report the success and outcomes of the total knee arthroplasty (TKA); however, few papers present patients with knee osteoarthritis and ipsilateral hip fusion. One controversy when treating patients requiring a TKA with prior ipsilateral hip fusion is whether to first perform a total hip arthroplasty (THA) of the fused hip, followed by the ipsilateral TKA, or to proceed with the TKA without replacing the hip; studies suggest that the position of the fused hip is a key factor when making this therapeutical decision. In addition, performing a TKA in patients with an ipsilateral fused hip may require modifications to the surgical technique generated by the lack of joint mobility in the hip. We identified 12 studies encompassing 30 patients with hip fusion and ipsilateral TKA in current orthopedic literature, but only six offered insights on patient positioning on the operating table during surgery. This study aims to review the current literature on patients with knee osteoarthritis and prior ipsilateral hip fusion and to present some technical considerations when performing a TKA on a 75-year-old patient with hip ankylosis who underwent a total ipsilateral knee arthroplasty in our clinic.
许多研究报告了全膝关节置换术（TKA）的成功率和结果；然而，很少有论文涉及患有膝关节骨关节炎和同侧髋关节融合的患者。在治疗先前有同侧髋关节融合且需要进行TKA的患者时，一个争议点是是否先对融合的髋关节进行全髋关节置换术（THA），然后再进行同侧TKA，还是不更换髋关节直接进行TKA；研究表明，融合髋关节的位置是做出这一治疗决策的关键因素。此外，对同侧髋关节融合的患者进行TKA可能需要对手术技术进行调整，因为髋关节缺乏关节活动度。我们在当前的骨科文献中检索到12项研究，涉及30例髋关节融合并同侧TKA的患者，但只有6项研究对手术过程中患者在手术台上的体位提供了见解。本研究旨在回顾当前关于膝关节骨关节炎和先前同侧髋关节融合患者的文献，并介绍在我们诊所为一名75岁髋关节强直且接受了同侧全膝关节置换术的患者进行TKA时的一些技术要点。
