About: Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee

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About: Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee
Creator	Gao, Feng Li, Qiang Huang, Qi Li, Lang Sun, Jiachen Xiang, Zhou
Source	PMC
abstract	BACKGROUND: With the global determination to eliminate tuberculosis (TB), the treatment for end-stage TB of the knee joint is still a great clinical challenge. This study aims to retrospectively determine the clinical and radiographic outcomes after use of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage knee TB. METHODS: Twenty-six patients with end-stage knee TB treated by external fixation with the Ilizarov fixator between 2012 and 2017 were examined. Anti-TB drugs were administered preoperatively, intraoperatively, and postoperatively. Clinical and radiologic examinations were performed for comprehensive evaluations, and these include C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), flexion and valgus angle of the knee, leg-length discrepancy, and Lysholm score. RESULTS: Twenty-four patients were followed up for an average of 5.8 years (2.2–7 years). All patients achieved bone fusion within a mean of 6.4 months (4–16 months). The ESR and CRP concentrations were observed to return to normal within 5.1 ± 1.1 months postoperatively. There was no recurrence of TB. At last follow-up, the mean leg-length discrepancy was 2.7 ± 1.4 cm, and the mean alignment was 8.7 ± 2.6° flexion and 5.3 ± 1.0° valgus. No patient had a significant rotational deformity. The average Lysholm score was seen to improve significantly from 36.8 ± 18.4 preoperatively to 79.5 ± 5.9 at final follow-up (p < 0.0001). CONCLUSION: This study has demonstrated that the Ilizarov technique for knee joint arthrodesis as a treatment of end-stage knee TB achieved promising outcomes with minimal complications.
has issue date	2020-08-26(xsd:dateTime)
bibo:doi	10.1186/s12891-020-03603-9
has license	cc-by
sha1sum (hex)	825b0d1fe62392e783a5f34f09506cf4938dfb60
schema:url	https://doi.org/10.1186/s12891-020-03603-9
resource representing a document's title	Application of the Ilizarov technique for knee joint arthrodesis as a treatment for end-stage tuberculosis of the knee
has PubMed Central identifier	PMC7447600
schema:publication	BMC Musculoskelet Disord
resource representing a document's body	covid:825b0d1fe62392e783a5f34f09506cf4938dfb60#body_text
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