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Outcome of total knee arthroplasties after renal transplantation

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Boquet, Jerôme [UCL] Goffin, Eric [UCL] Poilvache, Pascal [UCL]

The fate of total knee arthroplasty in renal graft recipients is unknown. We retrospectively reviewed the outcome of 16 total knee arthroplasties (TKAs) performed after renal transplantation in 12 renal graft recipients from February 1997 to December 2003. The patients (mean age 63) were submitted to a clinical evaluation using the Knee Society Score (KSS) and a radiological evaluation using the Knee Society Total Knee Arthroplasty Roentgenographic Evaluation. The follow-up period averaged 65 (range 25-107) months. No knee had to be revised and one patient died during the follow-up period. The mean knee score was 97.1 (range 93-100) and the mean function score was 87.7 (range 60-100). The alignments of the prosthetic components were correct for all but one patient who, however, kept a good knee score (95). No case of aseptic loosening or osteolysis was detected at last X-rays examination. We conclude that TKA is a safe and symptomatically effective treatment of knee osteonecrosis or severe osteoarthritis in renal graft recipients and should thus be proposed in this population when symptomatology becomes significant. Long-term follow-up studies are necessary to confirm this initial report.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2008
Language Anglais
Journal information "Archives of Orthopaedic and Trauma Surgery" - Vol. 128, no. 12, p. 1345-1348 (2008)
Peer reviewed yes
Publisher Springer ((Germany) Heidelberg)
issn 0936-8051
e-issn 1434-3916
Publication status Publié
Affiliations UCL - MD/MINT - Département de médecine interne
UCL - (SLuc) Service de néphrologie
UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur
MESH Subject Treatment Outcome ; Time Factors ; Survival Rate ; Risk Assessment ; Retrospective Studies ; Recovery of Function ; Range of Motion, Articular - physiology ; Prosthesis Failure ; Osteoarthritis, Knee - complications - mortality - surgery ; Middle Aged ; Male ; Kidney Transplantation - adverse effects - methods ; Kidney Failure, Chronic - complications - mortality - surgery ; Humans ; Graft Survival ; Follow-Up Studies ; Female ; Cohort Studies ; Arthroplasty, Replacement, Knee - adverse effects - methods ; Adult
Keywords Total knee arthroplasty ; Renal transplantation ; Osteonecrosis ; Aseptic necrosis
Links
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Bibliographic reference Boquet, Jerôme ; Goffin, Eric ; Poilvache, Pascal. Outcome of total knee arthroplasties after renal transplantation. In: Archives of Orthopaedic and Trauma Surgery, Vol. 128, no. 12, p. 1345-1348 (2008)
Permanent URL http://hdl.handle.net/2078.1/14197