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  • Title: A modified Gritti-Stokes amputation technique as a solution for recurring aseptic loosening of a knee arthroplasty: A single-patient case study.
    Author: van Rooij WM, Maas-van Weert KC, van Kempen RW, de Laat FA, Geertzen JH.
    Journal: Prosthet Orthot Int; 2021 Feb; 45(1):85-88. PubMed ID: 33834749.
    Abstract:
    CASE DESCRIPTION: A 56-year-old man with persistent knee pain and poor physical functioning due to recurring loosening of a (revised) total knee arthroplasty, was treated with a modified Gritti-Stokes amputation. OBJECTIVES: to describe the modified Gritti-Stokes amputation technique as an ultimate therapy for failed total knee arthroplasty and to assess the functional outcome for one patient 1 year post-surgery. STUDY DESIGN: a single patient case study. TREATMENT: a modified Gritti-Stokes amputation, with removal of the overlying cartilage and subchondral surfaces of both the patella and femur after removing the total knee arthroplasty. OUTCOMES: After rehabilitation, the patient has a fully end-bearing residual limb, is able to walk without pain (with a prosthesis) and perform his daily activities. CONCLUSIONS: In cases of recurring loosening of a (revised) total knee arthroplasty, a modified Gritti-Stokes amputation can create an end-bearing residual limb without pain and with good functional outcome.
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