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Total Knee Arthroplasty in Ochronosis Arthropathy: A Case Report and Systematic Review
المؤلفون المشاركون
Lee, Wu Chean
Tan, Tong Leng
Chan, Ying Ho
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-10-09
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction.
Ochronosis arthropathy (OcA) is a rare condition which may be treated with total knee arthroplasty (TKA) at the end stage.
The condition is often discovered only intraoperatively and the ideal choice of TKA is unknown.
Case Presentation.
A 54-year-old male with worsening chronic bilateral mechanical knee pain had failed conservative therapy.
Posterior stabilised (PS), cemented TKA and patella resurfacing was performed.
Intraoperatively, collagenous structures such as the menisci and cartilage were noted to be black.
Histological examination showed deposition of large amorphous brown material suggestive of ochronosis.
He recovered well and underwent TKA of the contralateral knee the following year.
At 2 years postindex TKA, his outcome scores improved and he was satisfied.
Discussion and Conclusion.
With increasing TKA performed worldwide, a surgeon may eventually be surprised by the above findings once in their lifetime.
However, OcA may be considered a likely diagnosis and it is safe to proceed with TKA.
There is no particular TKA design that proved to be superior in our systematic review of 19 publications regarding TKA as all reported good outcomes.
However, as the pathogenesis of OcA appears to be inflammatory in nature, we suggest using cemented PS TKA with resurfacing of the patella.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lee, Wu Chean& Tan, Tong Leng& Chan, Ying Ho. 2019. Total Knee Arthroplasty in Ochronosis Arthropathy: A Case Report and Systematic Review. Case Reports in Orthopedics،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1142474
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lee, Wu Chean…[et al.]. Total Knee Arthroplasty in Ochronosis Arthropathy: A Case Report and Systematic Review. Case Reports in Orthopedics No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1142474
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lee, Wu Chean& Tan, Tong Leng& Chan, Ying Ho. Total Knee Arthroplasty in Ochronosis Arthropathy: A Case Report and Systematic Review. Case Reports in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1142474
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1142474
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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