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- W2914990045 abstract "Introduction40 years old malay gentleman with underlyinggout and hyper tension presented with chiefcomplaint of bilateral knee pain for 10 yearsduration. He was walking with limping gaitand unable to squat or sit cross legs. Pain hadbeen increasing for the last 5 years. He wasdependent on analgesia. Since pain wasworsening patient was on wheelchairambulation. On examination patient rightknee, no swelling, fixed flexion at 10 degree,range of movement 10-100 degree flexion,lateral collateral laxity and varus deformity.Left knee had fixed flexion at 5 degree, rangeof movement 5-100 degree and varusdeformity. Blood investigation showed uricacid. Xray of bilateral knee showed reducedjoint space, and sclerotic bone. MethodsPatient underwent bilateral total kneereplacement. Left total knee replacement wasdone followed with right total kneereplacement after 5 months. Intraoperativelyleft knee noted intraarticular loose bodies anduncontained posteromedial defect which wasbuild up with bone (screw fixation) and bonegrafting. Intraoperatively right knee notedposteromedial defect over tibial articularsurface, incomplete iatrogenic fracture overmedial tibial plateau, augmented with 5mmmetal block over medial tibial plateau, bonequality was good, sclerotic bone over medialtibia plateau and multiple holes was drill overthe sclerotic bone.DiscussionsPost operatively wound was clean. Patient wasdischarge well with oral antibiotic. He wasadvised for non-weight bearing for 3 months.He was referred to physiotherapy for range ofmotion exercises. 1 year post operativelypatient able to ambulate with walking stick.Pain score improved. Functional and kneescore is good. Range of movement bilateralknee are 0-100 degree.ConclusionOutcome shows that total knee replacement isa reproducible surgery for which a trainedsurgeon will be able to produce excellent andgood results." @default.
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- W2914990045 date "2016-01-01" @default.
- W2914990045 modified "2023-09-26" @default.
- W2914990045 title "Case report: Bilateral total knee replacement in severe knee osteoarthritis" @default.
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