Robotic-arm assisted total knee replacement in an ankylosed knee

Sanjeev Pranav; Thomas Thomson; Balu Chandrababu; Jai Thilak

doi:10.1136/bcr-2023-256838

Robotic-arm assisted total knee replacement in an ankylosed knee

BMJ Case Rep. 2024 Dec 11;17(12):e256838. doi: 10.1136/bcr-2023-256838.

Authors

Sanjeev Pranav¹, Thomas Thomson¹, Balu Chandrababu¹, Jai Thilak²

Affiliations

¹ Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
² Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India [email protected].

PMID: 39663132
DOI: 10.1136/bcr-2023-256838

Abstract

A patient with rheumatoid arthritis in her 30s who had a left knee that had been ankylosed for 10 years was treated with robotic-arm assisted total knee replacement (RA-TKR) and surgical release of the ankyloses. For RA-TKR, accurate bony registration is essential. It was difficult to record the bone intraoperatively in an ankylosed knee with changed morphology. With careful preparation and implementation, RA-TKR can be an effective option in complicated situations like ankyloses.

Keywords: Musculoskeletal and joint disorders; Orthopaedic and trauma surgery; Orthopaedics; Rheumatoid arthritis.

Publication types

Case Reports

MeSH terms

Adult
Ankylosis* / surgery
Arthritis, Rheumatoid* / complications
Arthritis, Rheumatoid* / surgery
Arthroplasty, Replacement, Knee* / instrumentation
Arthroplasty, Replacement, Knee* / methods
Female
Humans
Knee Joint / diagnostic imaging
Knee Joint / surgery
Robotic Surgical Procedures* / methods
Treatment Outcome