Challenges and Solutions: Total Knee Replacement in Patients with Chronic Lymphatic Filariasis

Author:

C Arunkumar1ORCID,Raju Aebel2ORCID,Meleppuram Jimmy Joseph2ORCID,Nair Ayyappan V3ORCID,Mundakkal Arun1ORCID,Thankappan Ajayakumar2ORCID,Khan Prince Shanavas2ORCID

Affiliation:

1. Department of Orthopedics, Aster MIMS, Calicut, Kerala, India

2. Department of Orthopaedics, Apollo Adlux Hospital, Angamali, Kochi, Kerala, India

3. Department of Orthopaedics, Manipal Whitefield Hospital, Banglore, Karnataka, India

Abstract

Case: A 59-year-old woman with a history of left knee pain exacerbated by lymphatic filariasis underwent successful total knee replacement (TKR) for advanced osteoarthritis. Postoperatively, diligent adherence to compression bandaging, physiotherapy, and lymphatic flow promotion resulted in no lymphedema progression. During the 5-year follow-up, the patient showed improved Knee injury and Osteoarthritis Outcome Score and stable implant. Conclusions: Currently, there are no established protocols or formulated guidelines for TKR in patients with chronic filariasis. The preoperative lymphedema prevention must be tailor-made for each patient in the context of advanced osteoarthritis based on the functional lymphatic vessel status.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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