Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis

Total knee arthroplasty (TKA) in the setting of previous hip fusion is rare with a paucity of evidence in the orthopaedic literature. Traditionally, TKA is performed supine, with the aid of knee-positioning devices allowing for hip flexion and range of motion of the knee to facilitate ease of surgic...

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Main Authors:	S. Andrew Samborski, MD, David Quinzi, MD, Rishi Balkissoon, MD, MPH
Format:	Article
Language:	English
Published:	Elsevier 2020-12-01
Series:	Arthroplasty Today
Subjects:	Total knee arthroplasty Ipsilateral hip arthrodesis Surgical technique Positioning
Online Access:	http://www.sciencedirect.com/science/article/pii/S2352344120301692

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spelling	doaj-875ae1de95d14ffbb04586cee34fab202020-11-25T03:57:27ZengElsevierArthroplasty Today2352-34412020-12-0164830834Total Knee Arthroplasty with Prior Ipsilateral Hip ArthrodesisS. Andrew Samborski, MD0David Quinzi, MD1Rishi Balkissoon, MD, MPH2Corresponding author. 19 Paseos Dr, Rochester, NY 14618, USA. Tel.: +1 952 288 6959.; Department of Orthopaedics and Physical Performance, University of Rochester Medical Center, Rochester, NY, USADepartment of Orthopaedics and Physical Performance, University of Rochester Medical Center, Rochester, NY, USADepartment of Orthopaedics and Physical Performance, University of Rochester Medical Center, Rochester, NY, USATotal knee arthroplasty (TKA) in the setting of previous hip fusion is rare with a paucity of evidence in the orthopaedic literature. Traditionally, TKA is performed supine, with the aid of knee-positioning devices allowing for hip flexion and range of motion of the knee to facilitate ease of surgical intervention. However, TKA using traditional positioning would not be possible in the presence of ipsilateral hip arthrodesis preventing hip motion. This case report describes a TKA performed for a 72-year-old woman with end-stage osteoarthritis of the right knee, ipsilateral hip arthrodesis, and leg-length discrepancy as the sequelae of slipped capital femoral epiphysis. We describe novel surgical positioning to be used to facilitate TKA in the absence of ipsilateral hip motion with bed modifications and the use of an extremity positioning device.http://www.sciencedirect.com/science/article/pii/S2352344120301692Total knee arthroplastyIpsilateral hip arthrodesisSurgical techniquePositioning
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	S. Andrew Samborski, MD David Quinzi, MD Rishi Balkissoon, MD, MPH
spellingShingle	S. Andrew Samborski, MD David Quinzi, MD Rishi Balkissoon, MD, MPH Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis Arthroplasty Today Total knee arthroplasty Ipsilateral hip arthrodesis Surgical technique Positioning
author_facet	S. Andrew Samborski, MD David Quinzi, MD Rishi Balkissoon, MD, MPH
author_sort	S. Andrew Samborski, MD
title	Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis
title_short	Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis
title_full	Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis
title_fullStr	Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis
title_full_unstemmed	Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis
title_sort	total knee arthroplasty with prior ipsilateral hip arthrodesis
publisher	Elsevier
series	Arthroplasty Today
issn	2352-3441
publishDate	2020-12-01
description	Total knee arthroplasty (TKA) in the setting of previous hip fusion is rare with a paucity of evidence in the orthopaedic literature. Traditionally, TKA is performed supine, with the aid of knee-positioning devices allowing for hip flexion and range of motion of the knee to facilitate ease of surgical intervention. However, TKA using traditional positioning would not be possible in the presence of ipsilateral hip arthrodesis preventing hip motion. This case report describes a TKA performed for a 72-year-old woman with end-stage osteoarthritis of the right knee, ipsilateral hip arthrodesis, and leg-length discrepancy as the sequelae of slipped capital femoral epiphysis. We describe novel surgical positioning to be used to facilitate TKA in the absence of ipsilateral hip motion with bed modifications and the use of an extremity positioning device.
topic	Total knee arthroplasty Ipsilateral hip arthrodesis Surgical technique Positioning
url	http://www.sciencedirect.com/science/article/pii/S2352344120301692
work_keys_str_mv	AT sandrewsamborskimd totalkneearthroplastywithprioripsilateralhiparthrodesis AT davidquinzimd totalkneearthroplastywithprioripsilateralhiparthrodesis AT rishibalkissoonmdmph totalkneearthroplastywithprioripsilateralhiparthrodesis
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Total Knee Arthroplasty with Prior Ipsilateral Hip Arthrodesis

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