Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation

40 years old malay gentleman with underlying gout presenting with severe pain in both knees for 10 years, analgesic dependant and wheelchair ambulation. Examination of right knee shows fixed flexion at 10 degrees, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity...

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Main Authors:	Noor Rahin, Mohd. Shahidan, Siron @ Baharom, Khairul Nizam, Mor Japar Khan, Ed Simor Khan, Zulkifly, Ahmad Hafiz, Nik Mohd Najmi, Nik Mohd Fatmy
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2016
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/64029/ http://irep.iium.edu.my/64029/ http://irep.iium.edu.my/64029/1/64029_Bilateral%20total%20knee%20replacement%20in%20severe.pdf

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recordtype	eprints
spelling	iium-640292018-07-02T01:26:59Z http://irep.iium.edu.my/64029/ Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation Noor Rahin, Mohd. Shahidan Siron @ Baharom, Khairul Nizam Mor Japar Khan, Ed Simor Khan Zulkifly, Ahmad Hafiz Nik Mohd Najmi, Nik Mohd Fatmy RD701 Orthopedics 40 years old malay gentleman with underlying gout presenting with severe pain in both knees for 10 years, analgesic dependant and wheelchair ambulation. Examination of right knee shows fixed flexion at 10 degrees, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity. Left knee had fixed flexion at 10 degrees, range of movement 5-100 degree and varus deformity. Blood investigation showed uric acid. X-ray of bilateral knee showed severe tricompartmental arthritis with large medial tibial defect. The patient has undergone bilateral knee replacement in 5 months interval started with left knee. Surgical technique is the same for both knees, intraoperative shows a large posteromedial bone defect. We used 5mm metal augmentation on the right knee, but due to limited financial resources, we have to use the bone graft from the osteotomized bone for the augmentation on the left side. The bone augmentation was fixed with cancellous screw. The patient was referred to physiotherapy for range of motion exercises. 1 year post operatively patient able to ambulate without aid. Pain score improved. The patient does not require analgesia. Functional and knee score is excellent. Range of movement, bilateral knee are 0-100 degree. Radiological finding shows no evidence of construct failure in both metal block and bone graft construct. Severe arthritis with bone defect is common due to late presentation. Using autologous bone graft can provide good result as using expensive meta block for reconstruction. Kulliyyah of Medicine, International Islamic University Malaysia 2016-11-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64029/1/64029_Bilateral%20total%20knee%20replacement%20in%20severe.pdf Noor Rahin, Mohd. Shahidan and Siron @ Baharom, Khairul Nizam and Mor Japar Khan, Ed Simor Khan and Zulkifly, Ahmad Hafiz and Nik Mohd Najmi, Nik Mohd Fatmy (2016) Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation. The International Medical Journal Malaysia, 15 (Supp. 1). p. 74. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2015%20Supplement/MRS2016-ABSTRACT-BOOK-74.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Noor Rahin, Mohd. Shahidan Siron @ Baharom, Khairul Nizam Mor Japar Khan, Ed Simor Khan Zulkifly, Ahmad Hafiz Nik Mohd Najmi, Nik Mohd Fatmy Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
description	40 years old malay gentleman with underlying gout presenting with severe pain in both knees for 10 years, analgesic dependant and wheelchair ambulation. Examination of right knee shows fixed flexion at 10 degrees, range of movement 10-100 degree flexion, lateral collateral laxity and varus deformity. Left knee had fixed flexion at 10 degrees, range of movement 5-100 degree and varus deformity. Blood investigation showed uric acid. X-ray of bilateral knee showed severe tricompartmental arthritis with large medial tibial defect. The patient has undergone bilateral knee replacement in 5 months interval started with left knee. Surgical technique is the same for both knees, intraoperative shows a large posteromedial bone defect. We used 5mm metal augmentation on the right knee, but due to limited financial resources, we have to use the bone graft from the osteotomized bone for the augmentation on the left side. The bone augmentation was fixed with cancellous screw. The patient was referred to physiotherapy for range of motion exercises. 1 year post operatively patient able to ambulate without aid. Pain score improved. The patient does not require analgesia. Functional and knee score is excellent. Range of movement, bilateral knee are 0-100 degree. Radiological finding shows no evidence of construct failure in both metal block and bone graft construct. Severe arthritis with bone defect is common due to late presentation. Using autologous bone graft can provide good result as using expensive meta block for reconstruction.
format	Article
author	Noor Rahin, Mohd. Shahidan Siron @ Baharom, Khairul Nizam Mor Japar Khan, Ed Simor Khan Zulkifly, Ahmad Hafiz Nik Mohd Najmi, Nik Mohd Fatmy
author_facet	Noor Rahin, Mohd. Shahidan Siron @ Baharom, Khairul Nizam Mor Japar Khan, Ed Simor Khan Zulkifly, Ahmad Hafiz Nik Mohd Najmi, Nik Mohd Fatmy
author_sort	Noor Rahin, Mohd. Shahidan
title	Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
title_short	Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
title_full	Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
title_fullStr	Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
title_full_unstemmed	Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
title_sort	bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2016
url	http://irep.iium.edu.my/64029/ http://irep.iium.edu.my/64029/ http://irep.iium.edu.my/64029/1/64029_Bilateral%20total%20knee%20replacement%20in%20severe.pdf
first_indexed	2023-09-18T21:30:48Z
last_indexed	2023-09-18T21:30:48Z
_version_	1777412497703174144

Bilateral total knee replacement in severe knee osteoarthritis with large bone defect using autologous bone graft augmentation

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