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Case Reports
. 2015 Jun 8:2015:bcr2014208174.
doi: 10.1136/bcr-2014-208174.

Soft tissue releases, bone preservation and patient outcome following revision of the oldest total knee replacement

Ben Arthur Marson  1 , Robert Gleeson  1 , Richard Majkowski  1 , Amit Atrey  1
Affiliations
Case Reports

Soft tissue releases, bone preservation and patient outcome following revision of the oldest total knee replacement

Ben Arthur Marson et al. BMJ Case Rep. .

Abstract

The patient had a total knee replacement for arthritis secondary to Stills disease performed 35 years earlier, with 20 years of good function followed by 15 years of progressively worsening knee pain. A revision was completed, which improved the patient's quality of life and objective knee scores, with an increase in Oxford Knee Score from 22 to 42 and American Knee Society Score from 76 to 170. We discuss the technical aspects in revising this knee replacement, which is the oldest that we are aware of. The result has been a good recovery, which is the first available in the literature for future comparison.

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Figures

Figure 1
Figure 1
Preoperative radiographs showing Attenborough knee replacement in situ.
Figure 2
Figure 2
Intraoperative view with Attenborough implant removed.
Figure 3
Figure 3
Wear on the Attenborough implant.
Figure 4
Figure 4
Intraoperative images of final implant position with recon plate.
Figure 5
Figure 5
Six-week postoperative radiographs with position of TC3 implant.
See this image and copyright information in PMC

References

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