Posttraumatic Arthritis After Intra-Articular Distal Femur

Orthop. Clin. North Am. · Oct 2019

Review

Posttraumatic Arthritis After Intra-Articular Distal Femur and Proximal Tibia Fractures.

Posttraumatic arthritis (PTA) is a form of joint degeneration that occurs after physical trauma to a synovial joint. Development of PTA is multifactorial and results from mechanical damage at the time of trauma, a cell-mediated inflammatory response, and abnormal articulation due to persistent malalignment or joint instability. Although some risk factors may be unavoidable, preventing the development of PTA of the knee after intra-articular fracture (IAF) requires restoring anatomic articulation and alignment. Reconstruction with total knee arthroplasty is the treatment of choice for PTA and may be a useful primary treatment for IAF in some.

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- Jacob T Davis and Matthew I Rudloff.
- Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 520, Memphis, TN 38104, USA; Regional One Health Medical Center, 877 Jefferson Avenue, Memphis, TN 38103, USA; The Campbell Foundation, 1211 Union Avenue, Suite 500, Memphis, TN 38104, USA. Electronic address: JTDavis52@gmail.com.
- Orthop. Clin. North Am. 2019 Oct 1; 50 (4): 445-459.
AbstractPosttraumatic arthritis (PTA) is a form of joint degeneration that occurs after physical trauma to a synovial joint. Development of PTA is multifactorial and results from mechanical damage at the time of trauma, a cell-mediated inflammatory response, and abnormal articulation due to persistent malalignment or joint instability. Although some risk factors may be unavoidable, preventing the development of PTA of the knee after intra-articular fracture (IAF) requires restoring anatomic articulation and alignment. Reconstruction with total knee arthroplasty is the treatment of choice for PTA and may be a useful primary treatment for IAF in some.Copyright © 2019 Elsevier Inc. All rights reserved.

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Posttraumatic Arthritis After Intra-Articular Distal Femur and Proximal Tibia Fractures.

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