Article

Degenerative joint disease is not uncommon in amputees and reaches
the orthopedic surgeon when all other conservative methods to manage these
patients have failed. Several case reports describing hip and knee arthroplasties
in patients with hip and knee joint diseases or fractures with the distal part
amputated, either in the contralateral or ipsilateral limb, exist in literature.
This article focuses only on total knee and total hip arthroplasty in
amputees who have had severe osteoarthritis of the ipsilateral hip and knee
joints. STUDY DESIGN: Literature review. METHOD: Literature search in database
and summary of all the cases. RESULTS: All narratives indicate positive outcomes
with improvement in physical function and quality of life. CONCLUSION: The
reports suggest that slight modifications in surgical procedure and in the
rehabilitation protocol as compared to other patients with joint arthroplasties
can alleviate pain and make such patients ambulatory and gain maximum range of
motion. Therefore, it appears that careful preoperative evaluation and planning
tailored to suit individual cases maximizes postoperative good end results
beneficial to the patients regardless of age or cause of osteoarthritis.
CI - (c) The International Society for Prosthetics and Orthotics 2013.

Langue : ANGLAIS