Challenges Faced During Primary Total Knee Arthroplasty in Rheumatoid Knee in Females in the 5th Decade with Severe Osteoporosis

doi:10.13188/2334-2846.1000043

Abstract

Highlights

Rheumatoid Arthritis [RA] is a chronic inflammatory disorder of the synovium resulting in joint destruction
Thorough pre-operative evaluation along with awareness about the possible intra-operative complications and challenges should be borne in mind while performing total knee arthroplasty in rheumatoid knees
No article till date has mentioned about the intra-operative challenges faced during total knee arthroplasty in rheumatoid knee

Summary

Introduction

Rheumatoid Arthritis [RA] is a chronic inflammatory disorder of the synovium resulting in joint destruction. Over the past three decades there has been a considerable improvement with respect to advances in understanding the pathogenesis and treatment of RA and with the advent of highly effective biologic therapies, fewer individuals with RA suffer endstage joint destruction [2] Despite this success, approximately 20-25% of afflicted individuals develop advanced arthritis of the affected joints contributing to patient pain and overall disability [3]. RA patients carry additional potential for peri and post-operative complications; considerations regarding preoperative evaluation and surgical techniques must be taken into account in order to improve the results of TKA [5] This is the first article of its kind where we shall discuss about the intra-operative challenges we faced while performing total knee arthroplasty in females of the 5th decade

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Results

Conclusion