Year: 2023 | Month: December | Volume: 10 | Issue: 12 | Pages: 840-844
DOI: https://doi.org/10.52403/ijrr.20231284
Periprosthetic Osteolysis (PPOL) Following Total Knee Arthroplasty (TKA) Treated with Hybrid Semiconstrained Prosthetic Revision: A Case Report
Sri Mahadhana1, Nyoman Gede Grenata Nanda Ustriyana1, I Wayan Suryanto Dusak1
1Orthopaedic and Traumatology Department, Prof. IGNG Ngoerah General Hospital Denpasar, Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
Corresponding Author: Sri Mahadhana
ABSTRACT
Periprosthetic Osteolysis (PPOL) is a significant complication following total knee arthroplasty (TKR), often leading to the need for surgical revisions. The precise etiology of aseptic loosening and PPOL remains unclear, but it is a growing problem due to an aging population and increased demand for TKR implants.
A 70-year-old female presented with left knee pain following a fall. She had previously undergone left and right TKR due to osteoarthritis. X-rays revealed a dislodged femoral prosthesis component and bone lysis, indicating PPOL. The patient had poor bone quality and was at risk for further complications. Due to insurance limitations, a hybrid revision technique was chosen, preserving the tibial component and enhancing the femoral aspect with a new augmented implant.
Periprosthetic osteolysis is complex, and treatment options can be limited by financial constraints, such as insurance coverage. In this case, the decision to perform an isolated femoral component revision was made to reduce costs, with close follow-up and rehabilitation planned to prevent complications. Hybrid revision requires careful monitoring.
PPOL restoration necessitates immediate action and rehabilitation to promote optimal joint function. This case highlights the importance of balancing medical judgment and financial constraints, and the potential for hybrid revision in specific cases. It also emphasizes the need for a harmonious relationship between healthcare professionals and healthcare management for patient safety and satisfaction.
Keywords: Complication; Hybrid revision; Periprosthetic osteolysis; Total knee arthroplasty.
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