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  • Title: Bilateral total knee arthroplasty after spontaneous osseous ankylosis in rheumatoid arthritis.
    Author: Ojima T, Yokogawa A, Yamakado K, Ogawa K, Kobayashi T, Nakashima A, Ogawa H.
    Journal: Mod Rheumatol; 2005; 15(2):139-43. PubMed ID: 17029052.
    Abstract:
    Total knee arthroplasty (TKA) was carried out on both knee joints for spontaneous bony ankylosis due to rheumatoid arthritis (RA). Preoperative fixation angles were 40 degrees . First, the peroneal nerve was released prior to TKA. Quadriceps snip was performed to evert the patella laterally. Bilateral TKAs were carried out using a stabilized prosthesis. The results showed full extension to 70 degrees flexion at 3 years after the surgery. Absence of pain, maintenance of stability, and walking ability were achieved, without any significant complication. Total knee arthroplasty following takedown of a spontaneous ankylosed knee is an effective procedure under appropriate knee conditions.
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