Knee Surg Relat Res.  2016 Dec;28(4):325-329. 10.5792/ksrr.16.020.

Total Knee Arthroplasty for Severe Flexion Contracture in Rheumatoid Arthritis Knees

• Hwang YS
• Moon KP
• Kim KT
• Kim JW
• Park WS

• KMID: 2361833
• DOI: http://doi.org/10.5792/ksrr.16.020

Abstract

Flexion contracture deformities, as well as severe varus and valgus deformities of the knee joint, accompany osteoarthritis or rheumatoid arthritis (RA). In particular, severe flexion contracture deformity of the knee joint is often found in patients with RA, which renders them nonambulatory. This report describes a 26-year-old female patient diagnosed with RA 10 years ago. She had chronic joint pain, severe flexion contracture, valgus deformity in both knees, and limited range of motion in both knees and became nonambulatory. She underwent a total knee arthroplasty (TKA) and serial casting and physical therapy to restore stable joint movement and correct knee joint deformity. Her pain was successfully relieved, and she was able to walk after surgery. Here, we report the excellent results of TKA in this RA patient with severe flexion contracture of both knees.

Keyword

Knee; Rheumatoid arthritis; Arthroplasty; Flexion contracture

MeSH Terms

Adult
Arthralgia
Arthritis, Rheumatoid*
Arthroplasty
Arthroplasty, Replacement, Knee*
Congenital Abnormalities
Contracture*
Female
Humans
Joints
Knee Joint
Knee*
Osteoarthritis
Range of Motion, Articular