Artroplastia total de rodilla en pacientes con artritis reumatoide

Background: Approximately 90% of patients with rheumatoid arthritis (RA) will have one or both knees involved during the course of the disease. Total knee arthroplasty (TKA) allows restoring function and relieving pain satisfactorily, but these patients perform in a different way than those with pri...

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Autores principales:	Amenábar E,Pedro Pablo, Carrión M,Marco, Apablaza C,Daniel, Paulos A,Jaime
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Arthritis, rheumatoid Arthroplasty, replacement, knee
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300009
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id	oai:scielo:S0034-98872004000300009
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spelling	oai:scielo:S0034-988720040003000092004-12-13Artroplastia total de rodilla en pacientes con artritis reumatoideAmenábar E,Pedro PabloCarrión M,MarcoApablaza C,DanielPaulos A,Jaime Arthritis, rheumatoid Arthroplasty, replacement, knee Background: Approximately 90% of patients with rheumatoid arthritis (RA) will have one or both knees involved during the course of the disease. Total knee arthroplasty (TKA) allows restoring function and relieving pain satisfactorily, but these patients perform in a different way than those with primary knee osteoarthritis. Aim: To evaluate the clinical and radiographic results of TKA in patients with RA. Patients and methods: We analyzed retrospectively the data of 25 posterior stabilized total knee prostheses in 19 patients, available to an average follow-up of 6 years. The scores of Hospital for Special Surgery and of the Knee Society were used for clinical assessment. Results: The mean Hospital for Special Surgery score increased from 44 points (range 27-58) preoperatively to 80 points (range 58-91) at the final follow-up examination. Two prostheses required revision and removal of the implants because of deep infection, and two had clinical failure as defined by the Knee Society score. There were no cases of implant loosening. Discussion: Even though it is not free of complications, TKA is a good choice in patients with RA in the medium term follow up, with 80% of excellent and good results in our series (Rev Méd Chile 2004; 132: 337-45).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.3 20042004-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300009es10.4067/S0034-98872004000300009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Arthritis, rheumatoid Arthroplasty, replacement, knee
spellingShingle	Arthritis, rheumatoid Arthroplasty, replacement, knee Amenábar E,Pedro Pablo Carrión M,Marco Apablaza C,Daniel Paulos A,Jaime Artroplastia total de rodilla en pacientes con artritis reumatoide
description	Background: Approximately 90% of patients with rheumatoid arthritis (RA) will have one or both knees involved during the course of the disease. Total knee arthroplasty (TKA) allows restoring function and relieving pain satisfactorily, but these patients perform in a different way than those with primary knee osteoarthritis. Aim: To evaluate the clinical and radiographic results of TKA in patients with RA. Patients and methods: We analyzed retrospectively the data of 25 posterior stabilized total knee prostheses in 19 patients, available to an average follow-up of 6 years. The scores of Hospital for Special Surgery and of the Knee Society were used for clinical assessment. Results: The mean Hospital for Special Surgery score increased from 44 points (range 27-58) preoperatively to 80 points (range 58-91) at the final follow-up examination. Two prostheses required revision and removal of the implants because of deep infection, and two had clinical failure as defined by the Knee Society score. There were no cases of implant loosening. Discussion: Even though it is not free of complications, TKA is a good choice in patients with RA in the medium term follow up, with 80% of excellent and good results in our series (Rev Méd Chile 2004; 132: 337-45).
author	Amenábar E,Pedro Pablo Carrión M,Marco Apablaza C,Daniel Paulos A,Jaime
author_facet	Amenábar E,Pedro Pablo Carrión M,Marco Apablaza C,Daniel Paulos A,Jaime
author_sort	Amenábar E,Pedro Pablo
title	Artroplastia total de rodilla en pacientes con artritis reumatoide
title_short	Artroplastia total de rodilla en pacientes con artritis reumatoide
title_full	Artroplastia total de rodilla en pacientes con artritis reumatoide
title_fullStr	Artroplastia total de rodilla en pacientes con artritis reumatoide
title_full_unstemmed	Artroplastia total de rodilla en pacientes con artritis reumatoide
title_sort	artroplastia total de rodilla en pacientes con artritis reumatoide
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000300009
work_keys_str_mv	AT amenabarepedropablo artroplastiatotalderodillaenpacientesconartritisreumatoide AT carrionmmarco artroplastiatotalderodillaenpacientesconartritisreumatoide AT apablazacdaniel artroplastiatotalderodillaenpacientesconartritisreumatoide AT paulosajaime artroplastiatotalderodillaenpacientesconartritisreumatoide
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Artroplastia total de rodilla en pacientes con artritis reumatoide

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