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- Title
SECONDARY KNEE OSTEOARTHRITIS WITH RIGHT KNEE ANKYLOSIS. MULTIPLE POSTRAUMATIC SEQUELAE.
- Authors
G., Chiriţi; D., Dimulescu; R. G., Scarlet
- Abstract
Objectives. The purpose of this study was to evaluate the role of a complex programme, which includes a physicalkinetic rehabilitation treatment for a patient with secondary posttraumatic knee OA, with right knee ankylosis. Materials and methods. We presented the case of a 68-year-old patient, who was hospitalized in our clinic for mixed pain, mainly mechanical pain at the hip and knee joints, (mainly on the right), mechanical pain of the right forearm, marked functional impotence - difficulties in walking, with right knee ankylosis, with the use of a walking stick. The following information were underlined from her personal medical history: the patient suffered a car accident with multiple trauma (2014) such as ischiopubic bilateral fracture, left sacrum bone, multiple fracture of the intra-supracondylar right femur, fractures of the tibial spine and of the left tibial plateau, the fracture of the right patella, of the right humeral neck surgically treated, distal fracture of the right radius, treated by orthopedic surgery (metallic OS), with the removal of the osteosynthesis material after 2 years. In 2016, the patient suffered a corticotomy of re-fixing of the right knee, followed by the knee ankylosis. The following could be seen at the local exam: increase of thoracic kyphosis, reduction of the lumbar lordosis, paravertebral muscular CDL contracture, mainly on the right side, Schober = +3 cm, IDS - patellar; pertrochanteric bilateral pain worsened by mobilization and weight load, 70 degrees flexum (right), 75 degrees (left), 20 degrees abduction (bilateral); spontaneous pain at the palpation an weight load of the knees bilaterally; sounds at the patellar mobilization; right knee ankylosis; left knee: active flexum at 60 degrees, passive flexum at 70 degrees, irreducible flexum at 10 degrees; left foot longer than the right foot with 1 cm; difficulties at walking, with auxiliary help. The complex rehabilitation program used the following: pharmacological treatment; electrotherapy with antialgic and myorelaxation effect - Diapulse on the right knee and right forearm, sedative massage of the vertebral cervicodorso-lumbar vertebral column; kinesiotherapy with postural therapy exercises for the improvement of the mobility on the inferior limbs; exercises for walking and coordination. Results. The following were observed after the treatment: the VAS scale has lowered from 8 points at the admission to 6 points at the discharge; the improvement of the algodysfunctional syndrome of the hip and of the left knee: the improvement of the active flexum to 65 degrees and of the passive one to 75 degrees, the improvement of the walking pattern. Conclusions. The rehabilitation program has improved the algo-dysfunctional syndrome at the level of the inferior left limb.
- Subjects
ANKYLOSIS; KNEE diseases; OSTEOARTHRITIS
- Publication
Journal of Medicine & Life, 2017, Vol 10, p10
- ISSN
1844-122X
- Publication type
Abstract