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Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy

Although the Charcot arthropathy may be associated with serious complications, total knee arthroplasty (TKA) is the preferred choice of treatment by patients. This case report presents an 80-year-old man with intra-articular giant heterotopic ossification following loosening of femoral and tibial im...

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Autores principales: Nakajima, Arata, Tsuge, Shintaro, Aoki, Yasuchika, Sonobe, Masato, Shibata, Yoshifumi, Sasaki, Yu, Nakagawa, Koichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789291/
https://www.ncbi.nlm.nih.gov/pubmed/24151574
http://dx.doi.org/10.1155/2013/472378
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author Nakajima, Arata
Tsuge, Shintaro
Aoki, Yasuchika
Sonobe, Masato
Shibata, Yoshifumi
Sasaki, Yu
Nakagawa, Koichi
author_facet Nakajima, Arata
Tsuge, Shintaro
Aoki, Yasuchika
Sonobe, Masato
Shibata, Yoshifumi
Sasaki, Yu
Nakagawa, Koichi
author_sort Nakajima, Arata
collection PubMed
description Although the Charcot arthropathy may be associated with serious complications, total knee arthroplasty (TKA) is the preferred choice of treatment by patients. This case report presents an 80-year-old man with intra-articular giant heterotopic ossification following loosening of femoral and tibial implants and femoral condylar fracture. He had undergone TKA because of Charcot neuropathy seven years ago and had been doing well since. Immediately after a left knee sprain, he became unable to walk. Because he had developed a skin ulcer on his left calf where methicillin-resistant Staphylococcus aureus was detected, we postponed revision surgery until the ulcer was completely healed. While waiting, intra-articular bony fragments grew larger and formed giant heterotopic ossified masses. Eventually, the patient underwent revision surgery, and two major ossified masses were carefully and successfully extirpated. It should be noted that intra-articular heterotopic giant ossification is a significant complication after TKA for neuropathic arthropathy.
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spelling pubmed-37892912013-10-22 Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy Nakajima, Arata Tsuge, Shintaro Aoki, Yasuchika Sonobe, Masato Shibata, Yoshifumi Sasaki, Yu Nakagawa, Koichi Case Rep Orthop Case Report Although the Charcot arthropathy may be associated with serious complications, total knee arthroplasty (TKA) is the preferred choice of treatment by patients. This case report presents an 80-year-old man with intra-articular giant heterotopic ossification following loosening of femoral and tibial implants and femoral condylar fracture. He had undergone TKA because of Charcot neuropathy seven years ago and had been doing well since. Immediately after a left knee sprain, he became unable to walk. Because he had developed a skin ulcer on his left calf where methicillin-resistant Staphylococcus aureus was detected, we postponed revision surgery until the ulcer was completely healed. While waiting, intra-articular bony fragments grew larger and formed giant heterotopic ossified masses. Eventually, the patient underwent revision surgery, and two major ossified masses were carefully and successfully extirpated. It should be noted that intra-articular heterotopic giant ossification is a significant complication after TKA for neuropathic arthropathy. Hindawi Publishing Corporation 2013 2013-09-15 /pmc/articles/PMC3789291/ /pubmed/24151574 http://dx.doi.org/10.1155/2013/472378 Text en Copyright © 2013 Arata Nakajima et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nakajima, Arata
Tsuge, Shintaro
Aoki, Yasuchika
Sonobe, Masato
Shibata, Yoshifumi
Sasaki, Yu
Nakagawa, Koichi
Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title_full Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title_fullStr Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title_full_unstemmed Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title_short Intra-Articular Giant Heterotopic Ossification following Total Knee Arthroplasty for Charcot Arthropathy
title_sort intra-articular giant heterotopic ossification following total knee arthroplasty for charcot arthropathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789291/
https://www.ncbi.nlm.nih.gov/pubmed/24151574
http://dx.doi.org/10.1155/2013/472378
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