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Number of results

Journal

2012 | 7 | 4 | 553-556

Article title

Irradiation in the treatment of arthrofibrosis after total knee arthroplasty: a preliminary trial

Content

Title variants

Languages of publication

EN

Abstracts

EN
Postoperative arthrofibrosis after primary and revision total knee arthroplasty is a severe complication for the affected patient. Several risk factors have been identified for this diagnosis. We present a series of 3 patients with arthrofibrosis after (revision) total knee arthroplasty. Approximately 2 hours before the operative revision procedure, all patients were irradiated once with 7.01 gray. At latest follow-up, all 3 patients showed a distinct improvement of range of motion. Before revision total knee arthroplasty due to arthrofibrosis, a single dose of pre- or postoperative irradiation should be considered.

Publisher

Journal

Year

Volume

7

Issue

4

Pages

553-556

Physical description

Dates

published
1 - 8 - 2012
online
24 - 5 - 2012

Contributors

author
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany
  • Department of Traumatology and Orthopeadic Surgery, Hospital Barmherzige Brüder Regensburg, Teaching Hospital, University of Regensburg, Prüfeningerstraße 84, 93049, Regensburg, Germany

References

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  • [2] Haidukewych GJ, Jacofsky DJ, Pagnano MW, Trousdale RT. Functional results after revision of well-fixed components for stiffness after primary total knee arthroplasty. J Arthroplasty 20(2): 133–138, 2005 http://dx.doi.org/10.1016/j.arth.2004.09.057[Crossref]
  • [3] Lang JE. Clinical outcomes in patients with a history of arthrofibrosis undergoing second primary TKA. AAOS (American Academy of Orthopaedic Surgeons) 2006, Chicago, IL
  • [4] González della Valle A, Leali A, Haas S. Etiology and surgical interventions for stiff total knee replacements. Published online HSS J 3: 182–189, 2007
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  • [7] Baird EO, Kang QK. Prophylaxis of heterotopic ossification - an updated review. J Orthop Surg Res 4: 12, 2009 http://dx.doi.org/10.1186/1749-799X-4-12[Crossref]
  • [8] Cooley LM, Goss RJ. The effects of transplantation and x-irradiation on the repair of fractured bones. Am J Anat. 102(2):167–181, 1958 http://dx.doi.org/10.1002/aja.1001020202[Crossref]
  • [9] Balboni TA, Gobezie R, Mamon HJ. Heterotopic ossification: Pathophysiology, clinical features, and the role of radiotherapy for prophylaxis. Int J Radiat Oncol Biol Phys 65: 1289–1299, 2006 http://dx.doi.org/10.1016/j.ijrobp.2006.03.053[Crossref]
  • [10] Coventry MB, Scanlon PW. The use of radiation to discourage ectopic bone. A nine-year study in surgery about the hip. J Bone Joint Surg Am. 63(2):201–208, 1981
  • [11] Pfitzner T, Geissler S, Duda G, Perka C, Matziolis G. Increased BMP expression in arthrofibrosis after TKA. Knee Surg Sports Traumatol Arthrosc. Nov 17. [Epub ahead of print] 2011
  • [12] Watson RS, Gouze E, Levings PP, Bush ML, Kay JD, Jorgensen MS, Dacanay EA, Reith JW, Wright TW, Ghivizzani SC. Gene delivery of TGF-β1 induces arthrofibrosis and chondrometaplasia of synovium in vivo. Lab Invest 90(11):1615–1627. 2010 http://dx.doi.org/10.1038/labinvest.2010.145[WoS]
  • [13] Zeichen J, Gerich T, Lobenhoffer P, Bosch U. Intrinsic properties of arthrofibrosis tissue: histologic and cell biology analysis. Langenbecks Arch Chir Suppl Kongressbd. 115(Suppl I):189–191, 1998
  • [14] Oertel S, Schneider U, Keel M, Lütolf UM, Bosshard G. Prophylaxis of heterotopic ossification in patients sedated after polytrauma: medical and ethical considerations. Strahlenther Onkol. 184(4):212–217, 2008 http://dx.doi.org/10.1007/s00066-008-1757-y[WoS][Crossref]
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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-012-0009-9
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