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Journal articles on the topic 'Knee Ankylosis'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Trotsenko, V. V. "Two-steps surgical restoration of the function of ankylosing knee joint in rheumatoid arthritis." N.N. Priorov Journal of Traumatology and Orthopedics 2, no. 1-2 (December 28, 1995): 26–31. http://dx.doi.org/10.17816/vto99579.

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Two-steps restoration of knee joint function enables first to eliminate the flexion deformity by mobilization and then gradually to elongate the posterior anatomic structures of fibrous ankylosing knee joint. For the management the hinged distraction apparatus is used. In bone flexion ankylosis of the knee joint the osteotomy is performed along the line of the union of femur with the patella and tibia followed by gradual extension of the knee joint using hinged distraction apparatus. During the second step of the surgery the restoration of the whole synovial space of the knee joint including the articular cartillage is achieved. Conception of the articular cartillage restoration has been based and formulated and the leading role is given to arthroplasty using preserved costal cartillage in complex with the irrigation of knee joint through the drain loop. This two-steps procedure preserves the relation-ship of articular surfaces at most and enables to achieve functional and weightbearing knee joint. Long term results of the surgical treatment of 35 ankylosing knee joints in 28 patients with rheumatoid arthritis are presented. The dependence of treatment efficacy on the patients age and type of ankylosis is detected. Efficiency of the treatment ranged from 22,8% to 26,2%.

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2

Krešić, Elvira, Siniša Pamić, Nataša Šarkić, Ivana Kuhtić, Tihomir Percen, Magdalena Linić, Igor Erjavec, and Željana Bašić. "Ankylosis of knee joint in human skeletal remains from Istria, case report from St. Teodor (15th-18th centuries)." Journal of bioanthropology 2, no. 1 (December 13, 2022): 22–40. http://dx.doi.org/10.54062/jb.2.1.8.

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Objective: To present a case of knee joint ankylosis in human skeletal remains found in Istria, Croatia. Materials and methods: A fused knee joint was found at archeological site St Teodor. We analyzed the knee changes using macroscopic observation, using digital radiography and computed tomography. Results: Macroscopic analysis and both digital radiography and computed tomography imaging show knee ankylosis with cortical thickening. Conclusion: Knee ankylosis with cortical thickening suggests that the person still used the leg despite the disability.

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3

Bae, Dae Kyung, Bong Keun Kim, Sang Hoon Kim, and Seung Myeon Park. "Arthroscopic Adhesiolysis of Knee Ankylosis." Journal of the Korean Orthopaedic Association 22, no. 1 (1987): 145. http://dx.doi.org/10.4055/jkoa.1987.22.1.145.

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4

Bae, Dae Kyung, Sang Yeol Cho, and Soo Hong Han. "Arthroscopic Adhesiolysis of Partial Knee Ankylosis." Journal of the Korean Orthopaedic Association 30, no. 6 (1995): 1685. http://dx.doi.org/10.4055/jkoa.1995.30.6.1685.

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5

Yaniv, M., E. Ezra, S. Wientroub, and E. Segev. "Congenital absence (ankylosis) of the knee." Journal of Bone and Joint Surgery. British volume 86-B, no. 4 (May 2004): 590–92. http://dx.doi.org/10.1302/0301-620x.86b4.14534.

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6

Bae, Dae Kyung, Keun Young Lee, and Deok Ho Ahn. "Arthroscopic Adhesiolysis of Partial Knee Ankylosis." Journal of the Korean Orthopaedic Association 24, no. 3 (1989): 863. http://dx.doi.org/10.4055/jkoa.1989.24.3.863.

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7

Cook, Jennifer, and Richard D. Scott. "Bony Ankylosis Following Total Knee Arthroplasty." Journal of Arthroplasty 20, no. 1 (January 2005): 122–24. http://dx.doi.org/10.1016/j.arth.2004.04.014.

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8

Korchagin, K. L., D. V. Chugaev, L. N. Solomin, E. P. Sorokin, and S. A. Lasunskiy. "Arthroscopically-assisted knee joint arthrodesis by custom-made intramedullary locking nail with simultaneous femur deformity correction (case report)." N.N. Priorov Journal of Traumatology and Orthopedics 27, no. 1 (April 1, 2020): 43–52. http://dx.doi.org/10.17816/vto202027143-52.

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Post-traumatic intra- and extra-articular deformities of the bones forming the knee joint, multiple previous surgeries, ﬁbrous ankylosis of the knee joint is unfavorable background for performing total knee joint arthroplasty. In case of refusal to perform knee arthroplasty, the gold standard is knee arthrodesis. Standard techniques used in performing this operation are traumatic and associated with a high volume of intraoperative blood loss. Using such a surgical option as arthroscopically-assisted arthrodesis can reduce the level of surgical invasive- ness and minimize blood loss, while allowing you to perform this operation no less eﬀectively than using traditional approaches. As a clinical example, we have presented arthroscopically-assisted arthrodesis of the knee joint in a patient with posttraumatic deformity of the femur and ﬁbrous ankylosis of the knee joint with a good medium-term functional result.

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9

Boulezaz, Samuel, Emmanuel Gibon, Philippe Loriaut, Laurent Casabianca, Romain Rousseau, Benjamin Dallaudiere, and Hugues Pascal-Moussellard. "Spontaneous Knee Ankylosis through Heterotopic Ossification after Total Knee Arthroplasty." Case Reports in Orthopedics 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/3548512.

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This paper reports on a case of total ankylosis of the knee after a cruciate-sacrificing cemented total knee arthroplasty (TKA). An 82-year-old female patient previously underwent primary TKA for osteoarthritis twenty years ago in our institution. She had recovered uneventfully and returned to her regular activities. There was no history of postsurgical trauma; however, she progressively lost knee range of motion. Radiographs revealed severe bridging heterotopic ossification.

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10

Efetoboh Enemudo, RoyT. "Management of knee ankylosis using ilizarov device." Nigerian Journal of Orthopaedics and Trauma 17, no. 1 (2018): 40. http://dx.doi.org/10.4103/njot.njot_6_18.

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11

Muthu, Sathish, Girinivasan Chellamuthu, Thiruvengita Prasad Gopalswamy, and Velmurugan Kandasamy. "Surgical strategies in management of ankylosed bilateral hips and knees in crouched posture." BMJ Case Reports 13, no. 10 (October 2020): e236043. http://dx.doi.org/10.1136/bcr-2020-236043.

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A 26-year-old wheelchair-bound man was brought to our institute with progressive painful deformity of both lower limbs involving bilateral hip and knee for the past 5 years. The patient was wheelchair-bound for the past 18 months. He was only able to crawl to meet his locomotor demands. On examination, the patient was in a crouched posture with mild kyphosis at the thoracolumbar region and ankylosis of bilateral hip and knee in an unfavourable position. Radiological and serological evaluation diagnosed him to be a case of neglected ankylosing spondylosis. We planned for arthroplasty of the bilateral hip and knee for correcting his posture and to regain his locomotor ability. The severity of the deformity mandated extensive releases and the handling of neurovascular structures. Hence, a holistic treatment plan with various surgical strategies was devised to manage his deformities. The patient made a good recovery and regained his locomotor ability without any major complications at a 2-year follow-up.

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12

Cho, Woo Shin, Yong Gab Jeong, Heon Kyu Shin, and Dong Oon Suh. "Thompson Quadricepsplasty in Ankylosis of the Knee Joint." Journal of the Korean Orthopaedic Association 36, no. 4 (2001): 355. http://dx.doi.org/10.4055/jkoa.2001.36.4.355.

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13

Kelly, Michael A., and Henry D. Clarke. "Stiffness and Ankylosis in Primary Total Knee Arthroplasty." Clinical Orthopaedics and Related Research 416 (November 2003): 68–73. http://dx.doi.org/10.1097/01.blo.0000092989.90435.64.

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14

Vutan, Ana-Maria. "Physical therapy management in knee ankylosis -Case study-." Timisoara Physical Education and Rehabilitation Journal 10, no. 19 (December 1, 2017): 15–18. http://dx.doi.org/10.1515/tperj-2017-0010.

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Abstract Aim: The purpose of this paper is to present a complicated case of a 2.8 year-old child with knee synovitis of unknown etiology which complicated in a very short time by the appearance of an ankylosis. The removal of the cast after 3 weeks revealed stiffness in flexion of the affected knee. Neither physiotherapy nor attempts to mobilize under anesthesia, led to the expected results. Consequently, the patient was referred to a surgery service for the adherence removal by arthrotomy. During the following 5 months, new complications developed due to a double tibia and peroneal fracture. After the consolidation of the fractures, both the therapist and the recovery protocol were changed. Method: For one and a half years, the child followed two weekly recovery sessions consisting in physiotherapy and massage. At home the child did an exercise program under parental supervision and worn an orthosis. Results: At the end of the rehabilitation program we noticed the restoring the normal amplitude of all the lower limb joints, restoring the muscular strength of the lower limb, and normal course resumption. Conclusion: In addition to the need for a correct diagnosis of the disease, such cases also require an adequate recovery protocol, following the instructions given by the treating physician and to ensure continuity of the rehabilitation program (both in a recovery and home program), until the complete rehabilitation of the deficit.

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15

Fedorova, I. I. "THE CASE OF CONSERVATIVE CESARIAN SECTION WITH ABSOLUTE PELVIS CONSTRUCTION." Journal of obstetrics and women's diseases 5, no. 9 (August 27, 2020): 729–36. http://dx.doi.org/10.17816/jowd59729-736.

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The case of cesarean section cited by us, in addition to casuistic interest, deserves attention in 2 respects: 1) in relation to deformity of the pelvis, as a result of bilateral coxitis with sequential ankylosis of the hip and knee joints (complete ankylosis of the right limb and 2 incomplete in the left) the relationship of the question of the significance of antiseptics in the use of it for cesarean section, produced as an ultimum refugium in advanced cases of childbirth.

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16

Trotsenko, V. V. "Dynamics of Thermographic Indices in Rheumatoid Damage of Knee Joint Before and After Mobilizing Operations." N.N. Priorov Journal of Traumatology and Orthopedics 3, no. 4 (December 15, 1996): 59–62. http://dx.doi.org/10.17816/vto103965.

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Thermographic indices were studied in 35 patients, aged 23-56, with 3-4 stage rheumatoid damage of the knee joint before and after mobilizing operations. It was detected that local inflammatory process achieved its maximum and involved total joint structure in the stage of expanded development of flexor contracture. In ankylosis of the joint thermoradiation decreased abruptly and while the minimum weight-bearing function (fibrous ankylosis) was preserved thermographic indices were higher than in complete bone ankylosis. After surgical intervention thermoradiation increases abruptly that was stipulated by operative injury. During the next 2 years thermoradiation decreases but due to irreversible pathologic changes in the joint complete restoration never occured. In late terms after mobilizing operations (5-9 years) the repeated increase of thermoradiation was observed and it was connected with the additional degenerative dystrophic process that was as a rule accompanied by secondary arthrosis. As after joint mobilization restoration of thermoradiation indices continued during 2 years, rehabilitation measures were recommended for that period.

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17

Kim, Young-Hoo, Jun-Shik Kim, and Soon-Ho Cho. "Total knee arthroplasty after spontaneous osseous ankylosis and takedown of formal knee fusion." Journal of Arthroplasty 15, no. 4 (June 2000): 453–60. http://dx.doi.org/10.1054/arth.2000.4640.

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18

Wang, Yubin, Richard M. Greenwald, and Gaungbo Dang. "New Surgical Technique for Treatment of Extraarticular Knee Ankylosis." Clinical Orthopaedics and Related Research 337 (April 1997): 172–79. http://dx.doi.org/10.1097/00003086-199704000-00019.

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19

Kim, Y. H., S. H. Cho, and J. S. Kim. "Total knee arthroplasty in bony ankylosis in gross flexion." Journal of Bone and Joint Surgery. British volume 81-B, no. 2 (March 1999): 296–300. http://dx.doi.org/10.1302/0301-620x.81b2.0810296.

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20

Papagelopoulos, Panayiotis J., David G. Lewallen, and Steve L. Wallrichs. "Treatment and long-term outcome of knee ankylosis or stiffness after total knee arthroplasty." Journal of Arthroplasty 8, no. 1 (February 1993): 108–9. http://dx.doi.org/10.1016/s0883-5403(06)80140-3.

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21

Papagelopoulos, PJ, and DG Lewallen. "Knee ankylosis or stiffness after a total knee arthroplasty: treatment and long-term outcome." Knee 1, no. 2 (June 1994): 105–10. http://dx.doi.org/10.1016/0968-0160(94)90022-1.

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22

Al Elayan, Saad Saleh Abdullah, and Abdullah Al Hamdan. "Ankylosis of the hips and knees due to sickle cell disease." F1000Research 1 (October 19, 2012): 32. http://dx.doi.org/10.12688/f1000research.1-32.v1.

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This is a case report of a 29-year-old Saudi male with sickle cell disease (SCD) with severe stiffness of his joints, mainly both knees and hips, secondary to complications of SCD. He was severely crippled: unable to sit, stand or walk, and was bedridden for 8 years when he was presented to us. Radiographs showed fusion of both knees and hips. There was no evidence of active osteomyelitis by Gallium scan. The patient’s hemoglobin S decreased to levels below 30% by exchange transfusion. Bilateral total hip replacement, as well as unilateral total knee replacement, was carried out to improve his level of function. There is only one reported case of such severe and multiple joint complications in a single patient suffering from SCD.The increased life expectancy that medical advances have offered to the sickle-cell patients has led to the appearance of sickle-cell-related complications, which were previously only seen rarely. These complications were successfully managed and the patient was able to move and transfer using a wheel chair.

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23

Kuroki, Takanori, Takehiko Torisu, and Shunichi Marui. "Total Knee Replacement in Rheumatoid Arthritis with Bilateral Osseous Ankylosis." Orthopedics & Traumatology 42, no. 2 (1993): 857–60. http://dx.doi.org/10.5035/nishiseisai.42.857.

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24

Bae, Dae Kyung, and Seung Gyun Cha. "Arthroscopic Adhesiolysis of Postoperative Knee Ankylosis: Case Report 5 Cases." Journal of the Korean Orthopaedic Association 20, no. 5 (1985): 975. http://dx.doi.org/10.4055/jkoa.1985.20.5.975.

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25

Tang, XianZhe, ZuYun Yan, Wanchun Wang, and Tang Liu. "Total knee arthroplasty in a patient with ipsilateral hip ankylosis." Medicine 98, no. 36 (September 2019): e16889. http://dx.doi.org/10.1097/md.0000000000016889.

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26

Varshney, A. N., N. Kumar, R. Anand, and N. K. Singh. "Disabling bony ankylosis of hip, knee and axial spine in a neglected patient of ankylosing spondylitis." Case Reports 2013, jul05 1 (July 5, 2013): bcr2013009890. http://dx.doi.org/10.1136/bcr-2013-009890.

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27

Ojima, Tomohiro, Akio Yokogawa, Kotaro Yamakado, Kyoichi Ogawa, Takashi Kobayashi, Akikatsu Nakashima, and Haruhiko Ogawa. "Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis." Modern Rheumatology 15, no. 2 (April 2005): 139–43. http://dx.doi.org/10.3109/s10165-005-0380-3.

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28

Lee, Seung-Hun, Eun-Kyoo Song, Jong-Keun Seon, and Seong-Hwan Woo. "Surgical Treatment of Neglected Traumatic Quadriceps Tendon Rupture with Knee Ankylosis." Knee Surgery & Related Research 28, no. 2 (June 30, 2016): 161–64. http://dx.doi.org/10.5792/ksrr.2016.28.2.161.

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29

Karva, A. R., T. N. Board, and M. L. Porter. "Conversion of bilateral hip and knee ankylosis to total joint replacements." Journal of Bone and Joint Surgery. British volume 90-B, no. 5 (May 2008): 668–73. http://dx.doi.org/10.1302/0301-620x.90b5.19937.

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30

Huang, C. H., C. G. Cheng, and R. Y. Su. "Total knee replacement with minimally constrained prostheses in spontaneous bony ankylosis." International Orthopaedics 20, no. 2 (April 24, 1996): 100–102. http://dx.doi.org/10.1007/s002640050039.

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31

Chan, PK, KY Chiu, FY Ng, and CH Yan. "Bony Ankylosis of the Knee Secondary to Heterotopic Ossification after Total Knee Arthroplasty: A Case Report." Journal of Orthopaedic Surgery 22, no. 3 (December 2014): 434–36. http://dx.doi.org/10.1177/230949901402200334.

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32

Bartlett, Jonathan, Surjit S. Lidder, and Andrew T. Bucknill. "Haemosiderotic Synovitis Secondary to Anticoagulant Use: An Unusual Mechanism of Failure of a Unicompartmental Knee Replacement." Case Reports in Orthopedics 2019 (November 14, 2019): 1–5. http://dx.doi.org/10.1155/2019/3959278.

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Haemosiderotic synovitis is a rare condition caused by recurrent or chronic haemarthroses. This may lead to intra-articular destruction, a painful joint, and, if untreated, ankylosis of the joint. We highlight a case of an elderly lady who presented to an orthopaedic clinic with left knee pain, following recurrent left knee atraumatic haemarthroses secondary to oral anticoagulant use. At her presentation, she had a left medial unicompartmental knee prosthesis in situ. Weight bearing radiographs of the left knee showed marked loss of lateral joint space with valgus alignment. These radiographic findings were not present on the radiographs taken at her first presentation with haemarthrosis nine months previously. A left revision total knee arthroplasty was performed, and a diagnosis of haemosiderotic synovitis was made following histological analysis of intraoperative tissue samples. This case highlights an unusual mechanism of failure of a unicompartmental knee replacement. Though haemosiderotic synovitis is an exceedingly rare condition, it must be considered following recurrent haemarthrosis as, due to its destructive nature, prompt recognition and treatment is paramount.

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33

Skvortsov, A. P. "Surgical treatment of knee joint deformities after hematogenous osteomyelitis." Kazan medical journal 82, no. 2 (April 3, 2001): 152–55. http://dx.doi.org/10.17816/kazmj70219.

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Hematogenous osteomyelitis is still a common disease, accounting for 6-10% of all pyoinflammatory diseases [3], while the incidence varies from 0.3 to 0.75 per 1000 child population. The proportion of complications of acute hematogenous osteomyelitis (CSO) in the structure of purulent-septic diseases ranges from 8.6 to 12%, in the structure of orthopedic pathology - from 3 to 6% [4]. Orthopedic complications (dislocations, deformities, shortening, contractures and ankylosis of large joints) are observed in 3171% of cases [5]. In children, the severity of the disease in the long term is aggravated by the defeat of the metaepiphyseal zones, which leads to a violation of the further formation of the musculoskeletal system [1, 2, 23].

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34

Nakamura, Taro, Takehiko Torisu, Sinzo Tazimi, Eisuke Nakamura, Tomozi Yatuka, and Shogo Masumi. "Treatment of knee ankylosis followed by reconstructive surgery of posterior cruciate ligament." Orthopedics & Traumatology 36, no. 3 (1988): 868–71. http://dx.doi.org/10.5035/nishiseisai.36.868.

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35

Schurman, J. R., and A. H. Wilde. "Total knee replacement after spontaneous osseous ankylosis. A report of three cases." Journal of Bone & Joint Surgery 72, no. 3 (March 1990): 455–59. http://dx.doi.org/10.2106/00004623-199072030-00024.

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36

Rodríguez-Merchán, E. Carlos. "Total knee arthroplasty using hinge joints: Indications and results." EFORT Open Reviews 4, no. 4 (April 2019): 121–32. http://dx.doi.org/10.1302/2058-5241.4.180056.

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Possible indications for a rotating hinge or pure hinge implant in primary total knee arthroplasty (TKA) include collateral ligament insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release, relevant bone loss, including insertions of collateral ligaments, gross flexion-extension gap imbalance, ankylosis and hyperlaxity. The use of hinged implants in primary TKA should be limited to the aforementioned selected indications, especially for elderly patients. Potential indications for a rotating hinge or pure hinge implant in revision TKA include infection, aseptic loosening, instability and bone loss. Rotating hinge knee implants have a 10-year survivorship in the range of 51% to 92.5%. Complication rates of rotating hinge knee implants are in the range of 9.2% to 63%, with infection and aseptic loosening as the most common complications. Although the results reported in the literature are inconsistent, clinical results generally depend on the implant design, appropriate technical use and adequate indications. Considering that the revision of implants with long cemented stems can be challenging, in the future it would be better to use shorter stems in modular versions of hinged knee implants.Cite this article: EFORT Open Rev 2019;4:121-132. DOI: 10.1302/2058-5241.4.180056

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37

Tomak, Yilmaz, Ahmet Piskin, Birol Gulman, and Leman Tomak. "Treatment of U-Shaped Bone Ankylosis of the Knee with the Ilizarov Method." Journal of Bone & Joint Surgery 87, no. 5 (May 2005): 1104–7. http://dx.doi.org/10.2106/jbjs.d.02379.

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38

TOMAK, YILMAZ, AHMET PISKIN, BIROL GULMAN, and LEMAN TOMAK. "TREATMENT OF U-SHAPED BONE ANKYLOSIS OF THE KNEE WITH THE ILIZAROV METHOD." Journal of Bone and Joint Surgery-American Volume 87, no. 5 (May 2005): 1104–7. http://dx.doi.org/10.2106/00004623-200505000-00024.

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39

Redfern, R. C., and A. Austin. "Ankylosis of a knee joint from Medieval London: Trauma, congenital anomaly or osteoarthritis?" International Journal of Paleopathology 28 (March 2020): 69–87. http://dx.doi.org/10.1016/j.ijpp.2019.10.002.

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40

Murugov, B. S. "Treatment of flexion contractures and ankylosis of the knee joint with a distraction-contraction device." Kazan medical journal 66, no. 4 (August 15, 1985): 310–12. http://dx.doi.org/10.17816/kazmj61908.

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Insufficient effectiveness of the generally accepted conservative methods for eliminating persistent flexion contractures of the knee joint makes it necessary to switch from one method to another in the course of treatment up to the use of operations associated with bone resection.

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41

Park, Han Bin, Eun Sil Heo, Dong Hwi Yoo, Won Suk Jang, Oh Bin Kwon, Ki Won Choi, Min Jin Kwon, Tae Ju Kim, Seon Woo Jang, and Oh Hoon Kwon. "Effects of Complex Korean Medicine Treatment on a Patient with Knee Pain and Ankylosis Following a Distal Femur Osteotomy: A Case Report." Journal of Acupuncture Research 39, no. 2 (May 31, 2022): 134–38. http://dx.doi.org/10.13045/jar.2021.00276.

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Distal femur osteotomy (DFO) is a controlled surgical break of the femur performed to allow realignment of the limb. Redistribution of the load aims to correct the abnormal mechanical weight-bearing axes in patients with abnormal alignment of the lower extremities, and degenerative changes in the knee joint. This report describes a complex Korean medicine treatment for a patient complaining of knee pain and stiffness following a DFO. Post-operative care for the patient lasted 78 days with treatment including pharmacopuncture, acupuncture, herbal medicine, cupping therapy, and physiotherapy. The effectiveness of the treatments was evaluated using the numerical rating scale, range of motion of the knee, and by physical examination. After treatment, these evaluation indicators improved, suggesting that the complex Korean medicine treatment received by the patient was an appropriate treatment for knee pain and stiffness following a DFO.

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42

Shaw, William S., and Charles N. Brooks. "Lower Extremity Impairments—Knee and Hip." Guides Newsletter 4, no. 1 (January 1, 1999): 1–3. http://dx.doi.org/10.1001/amaguidesnewsletters.1999.janfeb01.

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Abstract The process of assessing lower extremity impairment described in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, differs from that in previous editions. This article addresses common questions that arise in knee and hip impairment rating according to the new edition. Anatomic, diagnostic, or functional methods can be used to estimate lower extremity impairments. Functional methods include ratings based on diminished range of motion, weakness, or gait derangement. In general, only one method should be used to rate impairment associated with an injury or illness. Section 3.2i, Diagnosis-related Estimates, in the AMA Guides lists impairment ratings for many knee conditions and operative procedures. Decreased range of motion, ankylosis, diminished muscle function, and joint space narrowing are some rating methods for the knee. Similar anatomic, diagnostic, and functional methods may be used to rate impairment due to hip pathology, but most hip impairments are estimated by range-of-motion deficits. Assessing lower extremity impairments requires a thorough medical evaluation, careful analysis, experience, and clear judgment; evaluators must determine the applicable rating methods, use the methods to rate the impairment, and then decide which method or combination best describes the impairment, without overlooking or duplicating ratings. [A related Lower Extremity Impairment Checklist and Worksheet appears on page 4 of this issue of The Guides Newsletter. A related Quick Reference, Motion at the Wrist, Elbow, and Shoulder, appears on page 5.]

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43

Kumar, Narinder, and Pankaj Poswal. "Total knee arthroplasty in long standing post-traumatic isolated bony ankylosis of patellofemoral joint." Journal of Arthroscopy and Joint Surgery 4, no. 3 (September 2017): 149–51. http://dx.doi.org/10.1016/j.jajs.2017.10.004.

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44

Nippuleti, Anoop, Raviteja Rudraraju, Srivanth Dasari, and Mirza Shahrukh Baig. "A study on correlation between arthroscopy and MRI in internal derangement of knee." International Journal of Research in Orthopaedics 4, no. 4 (June 23, 2018): 606. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20182470.

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<p class="abstract"><strong>Background:</strong> The knee joint is a common site of injury, mainly due to trauma, repetitive activities and sports activities. Multiple imaging modalities are currently used to evaluate pathologic conditions of the knee. Magnetic resonance imaging has a better soft tissue contrast and multi planar slice capability, which has revolutionized and has become the ideal modality for imaging complex anatomy of the knee joint. Another advanced modality in the management of IDK is arthroscopy, which can be used in its dual mode, either as diagnostic and/or as therapeutic tool.</p><p class="abstract"><strong>Methods:</strong> Cases were taken according to inclusion and exclusion criteria i.e., patients with knee problems more than 6weeks old, with symptoms of locking of knee, patients with undiagnosed knee pain and knee injury. Only patients between 15-50 years are included in the study. Patients with signs of infection, with osteoarthritis, ankylosis, and patients on ATT were excluded from the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study of 25 cases, there were 20 male and 5 female patients with age ranging from 15 years to 50 years with most patients in between 21-30 years. 11 cases admitted were sport injuries, 14 had motor vehicle accidents. Right side being more common side affected.</p><p><strong>Conclusions:</strong> In conclusion the present study supports that clinical diagnosis is of primary necessity and MRI is additional diagnosing tool for IDK. </p>

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Mester, Bastian, Christian Schoepp, Martin Glombitza, and Dieter Rixen. "Postinfectious ankylosis of the knee after bacterial arthritis following routine anterior cruciate ligament (ACL) reconstruction." Orthopaedic Journal of Sports Medicine 4, no. 3_suppl2 (March 23, 2016): 2325967116S0004. http://dx.doi.org/10.1177/2325967116s00048.

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Solomin, L. N., E. A. Shchepkina, K. L. Korchagin, and F. K. Sabirov. "Comparative Analysis of Knee Joint Fusion with Long Locking Nail and Ilizarov Apparatus in Patients with Deep Infection after Arthroplasty." Traumatology and Orthopedics of Russia 26, no. 3 (September 29, 2020): 109–18. http://dx.doi.org/10.21823/2311-2905-2020-26-3-109-118.

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Relevance. Deep infection after knee arthroplasty requires radical surgical treatment of the infection site, removal of endoprosthesis components, and an antimicrobial spacer placement. If revision knee arthroplasty is impossible, the «gold standard» for this kind of patients is knee joint arthrodesis. The purpose of the study was the comparative analysis of knee joint fusion by external and internal fixation. Materials and Methods. The analysis of 60 cases of knee arthrodesis was carried out. The patients were divided into two groups with 30 patients in each. In the first group, knee arthrodesis was performed with long locking nail, in the second group — with external ring fixation. We compared the groups by intraoperative and drainage blood loss, the inpatient treatment duration, the terms of fusion and complications registered. The patients quality of life was evaluated using the SF-36 questionnaire before surgery, for the periods of 3, 6, and 12 months after the surgery. Results. The comparison of two methods of knee arthrodesis showed that blood loss in the internal fixation compared with external one, was 2.03 times more, the duration of inpatient treatment was 1.4 times less, and the total number of complications was 4.4 times less. However, the complications that affected the treatment outcome in long nail group were 1.5 times more. The differences in the average time of ankylosis formation were not statistically significant (p<0.05). The functional results of the treatment in 3 months after surgery in the group with internal fixation were much better. In 6 months after surgery the quality of life had no significant differences. In 12 months follow-up the indices in both groups were the same. Conclusion. The results of our study suggests us to think, knee joint arthrodesis by long fusion nail should be prefereble. If the nail insertion is technically impossible, and there is the high risk of deep infection recurrence, the external osteosynthesis should be used.

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Woo, Hyeon-Jun, Yun-Hee Han, Jung-Han Lee, and Won-Bae Ha. "Complex Korean Medical Treatment of Postoperative Ankylosis in Septic Arthritis of the Knee: A Case Report." Journal of Korean Medicine Rehabilitation 32, no. 3 (July 31, 2022): 161–69. http://dx.doi.org/10.18325/jkmr.2022.32.3.161.

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Osma Rueda, Jose Luis, Alejandra Oliveros Vargas, and Cristian David Sosa. "Supracondylar femoral osteotomy and knee joint replacement during the same surgical procedure in a type A haemophiliac patient with knee flexion deformity and ankylosis." Knee 24, no. 2 (March 2017): 477–81. http://dx.doi.org/10.1016/j.knee.2016.11.007.

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Bartsiokas, Antonis, Juan-Luis Arsuaga, Elena Santos, Milagros Algaba, and Asier Gómez-Olivencia. "The lameness of King Philip II and Royal Tomb I at Vergina, Macedonia." Proceedings of the National Academy of Sciences 112, no. 32 (July 20, 2015): 9844–48. http://dx.doi.org/10.1073/pnas.1510906112.

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King Philip II was the father of Alexander the Great. He suffered a notorious penetrating wound by a lance through his leg that was nearly fatal and left him lame in 339 B.C.E. (i.e., 3 y before his assassination in 336 B.C.E.). In 1977 and 1978 two male skeletons were excavated in the Royal Tombs II and I of Vergina, Greece, respectively. Tomb I also contained another adult (likely a female) and a newborn skeleton. The current view is that Philip II was buried in Tomb II. However, the male skeleton of Tomb II bears no lesions to his legs that would indicate lameness. We investigated the skeletal material of Tomb I with modern forensic techniques. The male individual in Tomb I displays a conspicuous case of knee ankylosis that is conclusive evidence of lameness. Right through the overgrowth of the knee, there is a hole. There are no obvious signs that are characteristic of infection and osteomyelitis. This evidence indicates that the injury was likely caused by a severe penetrating wound to the knee, which resulted in an active inflammatory process that stopped years before death. Standard anthropological age-estimation techniques based on dry bone, epiphyseal lines, and tooth analysis gave very wide age ranges for the male, centered around 45 y. The female would be around 18-y-old and the infant would be a newborn. It is concluded that King Philip II, his wife Cleopatra, and their newborn child are the occupants of Tomb I.

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Park, Hyojung, and Hyeri Yang. "The Effect of Hand Press Pellet Therapy on Arthralgia, Ankylosis, and Depression in Elderly Women with Knee Osteoarthritis." Korean Journal of Rehabilitation Nursing 23, no. 1 (June 30, 2020): 27–37. http://dx.doi.org/10.7587/kjrehn.2020.27.

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