There is a large number of people that have knee degeneration in China. Total knee arthroplasty is one of the most effective methods of treatment in the later stages of the disease. However, there are challenges when performing total knee arthroplasty on patients with ipsilateral hip akylosis. So far, there are few reports on postoperative curative effect of total knee arthroplasty for these patients. This case report records how to perform total knee arthroplasty in a patient with ipsilateral hip ankylosis.
Due to ankylosing spondylitis, the flexion of the patient's hips are restricted in 10°, which leads to a limited ipsilateral knee flexion to 30° when she is in the supine position.
Right knee osteoarthritis; right hip ankylosis.
We modified the traditional surgical position to allow easy exposure of the knee during surgery. After total knee arthroplasty, the patient was included in a planned training program, and was followed for 6 months.
The patient walked well without ambulation aid and achieved satisfactory knee joint function.
Conversion of a fused hip to a total hip arthroplasty does improve the quality of life of patients, but, given the high incidence of complications and more financial burden to the patient, we modified traditional surgical position of the patient to provide ideal surgical exposure of the knee. We hope that this case can be used as a reference for clinicians to deal with similar situations.
Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.
Correspondence: Tang Liu, Department of Orthopaedics, The Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan 410011, P.R. China (e-mail: email@example.com); Wanchun Wang, Department of Orthopaedics, The Second Xiangya Hospital, Central South University, 139 Renmin Road, Changsha, Hunan 410011, P.R. China (e-mail: firstname.lastname@example.org).
How to cite this article: Tang X, Yan Z, Wang W, Liu T. Total knee arthroplasty in a patient with ipsilateral hip ankylosis. Medicine 2019;98:36(e16889).
Abbreviation: TKA = total knee arthroplasty.
Prior consent has been obtained from the patient for all relevant data and images to be published. A copy of the written consent is available for review by the Editor-in-chief of this journal.
The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.
This work is supported by the National Natural Science Foundation of China (81672176), including the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
The authors have no conflicts of interest to disclose.
Received December 9, 2018
Received in revised form June 20, 2019
Accepted July 29, 2019
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0