Case report: Bilateral total knee replacement in severe knee osteoarthritis

Introduction 40 years old malay gentleman with underlying gout and hyper tension presented with chief complaint of bilateral knee pain for 10 years duration. He was walking with limping gait and unable to squat or sit cross legs. Pain had been increasing for the last 5 years. He was dependent...

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Main Authors:	Anwarali Khan, Mohammed Harris, Zulkifly, Ahmad Hafiz, Noor Rahin, Mohd. Shahidan
Format:	Conference or Workshop Item
Language:	English English
Published:	2016
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/62576/ http://irep.iium.edu.my/62576/6/62576%20BILATERAL%20TOTAL%20KNEE%20REPLACEMENT%20IN%20SEVERE.pdf http://irep.iium.edu.my/62576/1/poster%20harris%202%20copy%20small.jpg

id	iium-62576
recordtype	eprints
spelling	iium-625762018-04-02T06:52:11Z http://irep.iium.edu.my/62576/ Case report: Bilateral total knee replacement in severe knee osteoarthritis Anwarali Khan, Mohammed Harris Zulkifly, Ahmad Hafiz Noor Rahin, Mohd. Shahidan RD701 Orthopedics Introduction 40 years old malay gentleman with underlying gout and hyper tension presented with chief complaint of bilateral knee pain for 10 years duration. He was walking with limping gait and unable to squat or sit cross legs. Pain had been increasing for the last 5 years. He was dependent on analgesia. Since pain was worsening patient was on wheelchair ambulation. On examination patient right knee, no swelling, fixed flexion at 10 degree, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity. Left knee had fixed flexion at 5 degree, range of movement 5-100 degree and varus deformity. Blood investigation showed uric acid. Xray of bilateral knee showed reduced joint space, and sclerotic bone. Methods Patient underwent bilateral total knee replacement. Left total knee replacement was done followed with right total knee replacement after 5 months. Intraoperatively left knee noted intraarticular loose bodies and uncontained posteromedial defect which was build up with bone (screw fixation) and bone grafting. Intraoperatively right knee noted posteromedial defect over tibial articular surface, incomplete iatrogenic fracture over medial tibial plateau, augmented with 5mm metal block over medial tibial plateau, bone quality was good, sclerotic bone over medial tibia plateau and multiple holes was drill over the sclerotic bone. Discussions Post operatively wound was clean. Patient was discharge well with oral antibiotic. He was advised for non-weight bearing for 3 months. He was referred to physiotherapy for range of motion exercises. 1 year post operatively patient able to ambulate with walking stick. Pain score improved. Functional and knee score is good. Range of movement bilateral knee are 0-100 degree. Conclusion Outcome shows that total knee replacement is a reproducible surgery for which a trained surgeon will be able to produce excellent and good results. 2016 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/62576/6/62576%20BILATERAL%20TOTAL%20KNEE%20REPLACEMENT%20IN%20SEVERE.pdf application/pdf en http://irep.iium.edu.my/62576/1/poster%20harris%202%20copy%20small.jpg Anwarali Khan, Mohammed Harris and Zulkifly, Ahmad Hafiz and Noor Rahin, Mohd. Shahidan (2016) Case report: Bilateral total knee replacement in severe knee osteoarthritis. In: 46th Malaysian Orthopaedic Association Annual General Meeting/Annual Scientific Meeting & 10th ASEAN Arthroplasty Association Meeting, 26th-28th May 2016, Johot Bahru. Johor. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Anwarali Khan, Mohammed Harris Zulkifly, Ahmad Hafiz Noor Rahin, Mohd. Shahidan Case report: Bilateral total knee replacement in severe knee osteoarthritis
description	Introduction 40 years old malay gentleman with underlying gout and hyper tension presented with chief complaint of bilateral knee pain for 10 years duration. He was walking with limping gait and unable to squat or sit cross legs. Pain had been increasing for the last 5 years. He was dependent on analgesia. Since pain was worsening patient was on wheelchair ambulation. On examination patient right knee, no swelling, fixed flexion at 10 degree, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity. Left knee had fixed flexion at 5 degree, range of movement 5-100 degree and varus deformity. Blood investigation showed uric acid. Xray of bilateral knee showed reduced joint space, and sclerotic bone. Methods Patient underwent bilateral total knee replacement. Left total knee replacement was done followed with right total knee replacement after 5 months. Intraoperatively left knee noted intraarticular loose bodies and uncontained posteromedial defect which was build up with bone (screw fixation) and bone grafting. Intraoperatively right knee noted posteromedial defect over tibial articular surface, incomplete iatrogenic fracture over medial tibial plateau, augmented with 5mm metal block over medial tibial plateau, bone quality was good, sclerotic bone over medial tibia plateau and multiple holes was drill over the sclerotic bone. Discussions Post operatively wound was clean. Patient was discharge well with oral antibiotic. He was advised for non-weight bearing for 3 months. He was referred to physiotherapy for range of motion exercises. 1 year post operatively patient able to ambulate with walking stick. Pain score improved. Functional and knee score is good. Range of movement bilateral knee are 0-100 degree. Conclusion Outcome shows that total knee replacement is a reproducible surgery for which a trained surgeon will be able to produce excellent and good results.
format	Conference or Workshop Item
author	Anwarali Khan, Mohammed Harris Zulkifly, Ahmad Hafiz Noor Rahin, Mohd. Shahidan
author_facet	Anwarali Khan, Mohammed Harris Zulkifly, Ahmad Hafiz Noor Rahin, Mohd. Shahidan
author_sort	Anwarali Khan, Mohammed Harris
title	Case report: Bilateral total knee replacement in severe knee osteoarthritis
title_short	Case report: Bilateral total knee replacement in severe knee osteoarthritis
title_full	Case report: Bilateral total knee replacement in severe knee osteoarthritis
title_fullStr	Case report: Bilateral total knee replacement in severe knee osteoarthritis
title_full_unstemmed	Case report: Bilateral total knee replacement in severe knee osteoarthritis
title_sort	case report: bilateral total knee replacement in severe knee osteoarthritis
publishDate	2016
url	http://irep.iium.edu.my/62576/ http://irep.iium.edu.my/62576/6/62576%20BILATERAL%20TOTAL%20KNEE%20REPLACEMENT%20IN%20SEVERE.pdf http://irep.iium.edu.my/62576/1/poster%20harris%202%20copy%20small.jpg
first_indexed	2023-09-18T21:28:41Z
last_indexed	2023-09-18T21:28:41Z
_version_	1777412363906973696

Case report: Bilateral total knee replacement in severe knee osteoarthritis

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