Abstract
Recently we have experienced a Vitallium hinge arthroplasty of the rheumatoid knee, using the Shiers prosthesis. Patient was 68 years old Japanese female, suffering from rheumatoid arthritis for 15 years. She was disabled by the right knee which was markedly destructed. Her right knee had a 20-degree valgus deformity, poor lateral and antero-posterior stability, crepitus and flexion to 145 degrees.Roentgenograms of the right knee showed marked destruction looks like Charcot joint and flexion-valgus deformity. After operation she was well satisfied with good results. Her right knee was stable, painless and had 90 degrees of motion (from 180 to 90 degrees).
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