Title Managing knee arthrodesis conversion to arthroplasty in a young patient: surgical strategy, challenges, and functional recovery after 1 year
Authors Sirka, Aurimas ; Lukoseviciute, Gintare ; Kadusauskas, Tomas ; Daublys, Donatas ; Domeika, Aurelijus ; Gudas, Rimtautas ; Rimkunas, Augustinas
DOI 10.1016/j.artd.2025.101943
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Is Part of Arthroplasty today.. Amsterdam : Elsevier. 2026, vol. 37, art. no. 101943, p. 1-9.. ISSN 2352-3441
Keywords [eng] Case report ; Conversion ; Knee arthrodesis ; Knee fusion ; Total knee arthroplasty
Abstract [eng] Conversion of knee arthrodesis to total knee arthroplasty is a technically demanding procedure, particularly in young patients with a history of trauma and infection. This report outlines the surgical strategy and 1-year functional outcome of a 24-year-old patient who underwent total knee arthroplasty 4 years after knee fusion. Management included soft tissue reconstruction, tibial tubercle osteotomy, gastrocnemius flap coverage, and rotating hinge knee implantation. At 1-year follow-up, the patient showed marked clinical improvement, with improved in KOOS and WOMAC scores, pain relief, and quality of life. Markerless 3D kinematic gait analysis was also performed post-conversion. This report describes key surgical considerations and preoperative work-up for the successful conversion of knee arthrodesis to arthroplasty.
Published Amsterdam : Elsevier
Type Journal article
Language English
Publication date 2026
CC license CC license description