Total knee arthroplasty in a patient with quadriceps paralysis secondary to poliomyelitis: a case report.
Degenerative joint disease is known to occur in patients with a history of polio. However, minimal or absent quadriceps function is generally considered to be a contraindication to total knee arthroplasty. We describe an elderly patient with quadriceps paralysis secondary to poliomyelitis who underwent a successful total knee replacement for severe osteoarthritis. The primary operative indication was disabling pain. At the 1-year follow-up the patient reported excellent pain relief, and there were no clinical or radiographic signs of deformity.
Evangelista
Gregory T
GT
NYU-Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, New York, USA.
Zuckerman
Joseph D
JD
D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D000075202:Contraindications; D005260:Female; D006801:Humans; D018482:Muscle, Skeletal / Q000503:physiopathology*; D010003:Osteoarthritis / Q000209:etiology* / Q000601:surgery; D011051:Poliomyelitis / Q000150:complications*