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Savin L, Pinteala T, Botez P, Miu S, Forna N, Mihailescu D, Popescu DC, Enescu G, Sirbu PD. Total Knee Arthroplasty in Patients with Ipsilateral Hip Fusion: Technical Notes and Literature Review. J Pers Med 2023; 13:1705. [PMID: 38138932 PMCID: PMC10745000 DOI: 10.3390/jpm13121705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/04/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023] Open
Abstract
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.
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Affiliation(s)
- Liliana Savin
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Tudor Pinteala
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Paul Botez
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Smaranda Miu
- Department of Rehabilitation, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Norin Forna
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Dan Mihailescu
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Dragos Cristian Popescu
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Sf. Spiridon’ County Emergency Hospital, 700661 Iasi, Romania
| | - George Enescu
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
| | - Paul Dan Sirbu
- Department of Orthopedics and Traumatology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania; (L.S.); (N.F.); (D.M.); (D.C.P.); (G.E.); (P.D.S.)
- Department Orthopedics and Traumatology, Clinical Rehabilitation Hospital, 700661 Iasi, Romania;
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