The article describes a case in which a popliteal cyst was identified presenting as a mass on the anterior aspect of theright tibia. This occurred as a result of polyethylene wear debris from previous total knee arthroplasty. Although alternativediagnoses for an anterior tibial mass are more likely, a popliteal cyst must be considered, particularly if the patient has ahistory of total knee arth...

In this Editorial I want to comment on eight recent articles that can help us to better understand still controversial matters related to total knee arthroplasty (TKA). In this Editorial I want to comment on eight recent articles that can help us to better understand still controversial matters related to total knee arthroplasty (TKA).

multiplanar or global laxity in arthritic knee is rare , most of this patients have neuromuscular disorder (post poliomyelitis , spinal dystrophy) or history of knee trauma. ligament insufficiency and severe bone loss is significant in this patient. the estimated prevalence for the concurrence of charcot marie-tooth (cmt) with myasthenia gravis (mg) suggests an extremely rare event. we have pre...

background: the aim of this study is to evaluate the geometry of the distal femur and the proximal tibia in the osteoarthritic knee using 3d reconstructive ct scan imaging. methods: 449 patients with knee osteoarthritis were treated surgically in our center with patient-specific technology total knee arthroplasty. preoperatively, all the patients underwent a ct scan according to a standard prot...

Pyogenic knee arthritis in a patient with advanced osteoarthritis is a serious medical problem. We have performed arthroscopic debridement in 136 patients with pyogenic knee arthritis from January 1999 to December 2001. Five of these patients were diabetic, they did not respond to the standard treatment protocol and they continued to have infection. For these patients, we performed open arthrot...

Objective: The current study aimed to characterize the variation of serum PCT and IL-6 levels and look the specificity and the sensitivity in diagnosing pneumonia, urinary and superficial surgical site infections during the perioperative period of primary hip and knee arthroplasty. Methods: This observational study included 73 patients undergoing primary hip and knee arthroplasty. Serum Procalc...

total knee arthroplasty. Part 1 in the series, published in the January 2006 issue of Hospital Physician, reviewed evaluation, diagnosis, and classification of infection from a primary care physician’s perspective. This article discusses management of total knee arthroplasty infection from a surgical perspective. Once the diagnosis of deep infection has been established, a number of factors mus...

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...

INTRODUCTION Successful treatment of knee comminuted periarticular fractures associated with osteoporosis and pre-existing arthritis is a challenging task. METHODS This is a prospective study on 27 patients who had comminuted intra and periarticular knee fractures and pre-existing arthritis. Fractures were classified according to Muller's AO classification. Primary knee arthroplasty was perfo...

Between 1976 and 1988, 50 primary total knee arthroplasties were performed on 34 patients with psoriasis vulgaris. The skin lesions were graded for severity in all patients and the extent of affected body surface was mapped. All patients received peri-operative antibiotics. Only one deep infection, with Staphylococcus aureus, occurred 25 months after operation. The average length of follow-up w...