Two-Staged Total Knee Arthroplasty in Juvenile Rheumatoid Arthritis with Severe Flexion Deformity: A Case Report.

Abstract

CASE:

Juvenile rheumatoid arthritis (JRA) is associated with severe flexion contracture of the knees disabling a patient's ability to walk. Although various treatment modalities are available in the literature, we report a 2-stage procedure in a case of a 22-year-old female JRA patient with bilateral severe flexion deformity of the knee: stage 1-correction of the flexion contracture deformity by ring fixators and stage 2-total knee arthroplasty (TKA) for arthritis. To the best of our knowledge, no such approach has been reported previously.

CONCLUSIONS:

An Ilizarov ring fixator is a safe technique for gradual correction of a severe flexion deformity. Subsequent TKA can be performed as a standard procedure.

• Authors: Ratnakar Vecham, Adarsh Annapareddy, Kushal Hippalgaonkar, Chandra Bhushan, Sawankumar Pawar, A V Gurava Reddy
• Journal: JBJS case connector (JBJS Case Connect) Vol. 12 Issue 1 (03 03 2022) ISSN: 2160-3251 [Electronic] United States
• PMID: 35239551 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.

Topics

• Adult
• Arthritis, Juvenile (complications, surgery)
• Arthroplasty, Replacement, Knee (adverse effects)
• Contracture (surgery)
• Female
• Humans
• Knee Joint (diagnostic imaging, surgery)
• Young Adult