Patellofemoral arthroplasty in a bilateral Syme's amputee |
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| Authors: | Raj Kanna David S Barrett |
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| Institution: | 1. Department of Anaesthesiology and Intensive care, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India;2. Consultant, Associate Professor, Department of Anaesthesiology and Intensive care, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India;3. Senior Specialist and Assistant Professor, Department of Anaesthesiology and Intensive care, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India;1. Senior Resident, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;2. Professor, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;3. Additional Professor, Department of Orthopaedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India;1. Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan;2. Department of Sports Medicine and Orthopaedic Surgery, Showa University Fujigaoka Rehabilitation Hospital, 2-2-1 Fujigaoka, Aoba-ku, Yokohama 227-8518, Japan;1. Director, Sports Injury Center, Safdarjung Hospital and VMM College, New Delhi, India;2. Assistant Professor, Sports Injury Center, Safdarjung Hospital and VMM College, New Delhi, India;3. Specialist, Sports Injury Center, Safdarjung Hospital and VMM College, New Delhi, India;4. Associate Professor, Sports Injury Center, Safdarjung Hospital and VMM College, New Delhi, India;5. Fellow (Arthroscopy and Sports Medicine), Sports Injury Center, Safdarjung Hospital and VMM College, New Delhi, India;1. Director Professional Services, Head of Surgery, Consultant Orthopaedics Trauma & Arthroplasty, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, India;2. Consultant Orthopaedics Trauma & Arthroplasty, Lad''s Bone & Joint Clinic, 4th Floor, Kailas Darshan, Kennedy Bridge, Nana Chowk, Mumbai 400026, India;3. Consultant Orthopaedics Trauma & Musculoskeletal Infection, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, India;4. Associate Consultant Orthopaedics Trauma & Arthroplasty, P.D. Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai 400016, India |
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| Abstract: | We present the case of a 50-year-old woman, who is a bilateral Syme's amputee and subsequently underwent patellofemoral arthroplasty (PFA) for osteoarthritis primarily involving the patellofemoral (PF) joint. History and physical examination were suggestive of severe PF arthritis without patellar instability of the right knee. The diagnosis was confirmed by roentgenogram and a PFA was performed. A slightly modified rehabilitation program was implemented and the patient was followed until 6 years after surgery. In comparison to the preoperative scores, the Oxford, the Western Ontario and McMaster Universities (WOMAC), the Knee Society, and the Hospital for Special Surgery Knee Scores improved significantly (p < 0.05) at the time of final follow-up. PF problems specific to below-knee amputees, factors to be considered before performing PFA, and the drawbacks of other treatment modalities in these patients have been discussed. |
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| Keywords: | Below-knee amputee Patellofemoral osteoarthritis Patellofemoral arthroplasty Patellar tendon bearing prosthesis Patella alta |
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