Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review

Pavel Sponer, Martin Korbel, Tomas Kucera Department of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech RepublicCorrespondence: Pavel SponerDepartment of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sponer P, Korbel M, Kucera T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	spondyloepiphyseal dysplasia patella dislocation total knee arthroplasty Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/cc91e89ba4a64e9c9c1ee558bf5369a8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cc91e89ba4a64e9c9c1ee558bf5369a8
record_format	dspace
spelling	oai:doaj.org-article:cc91e89ba4a64e9c9c1ee558bf5369a82021-12-02T14:51:58ZTotal Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review1178-203Xhttps://doaj.org/article/cc91e89ba4a64e9c9c1ee558bf5369a82021-03-01T00:00:00Zhttps://www.dovepress.com/total-knee-arthroplasty-in-spondyloepiphyseal-dysplasia-with-irreducib-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XPavel Sponer, Martin Korbel, Tomas Kucera Department of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech RepublicCorrespondence: Pavel SponerDepartment of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, 500 03, Czech RepublicTel +420 495 833 566Fax +420 495 832 007Email sponer.p@seznam.czBackground: Spondyloepiphyseal dysplasia is the clinical term applied to a group of rare genetic disorders with primary involvement of the vertebrae and epiphyses, predisposing the afflicted individuals toward the premature development of osteoarthritis. There are few reports concerning joint replacement therapy in these patients, particularly describing the role of total hip arthroplasty. In this report, we describe the anatomical and technical aspects of spondyloepiphyseal dysplasia that must be considered during surgical planning and performance of total knee arthroplasty.Case Presentation: A 49-year old woman with a history of spondyloepiphyseal dysplasia suffered from severe osteoarthritis of the knee and irreducible congenital dislocation of the patella. After careful preoperative evaluations and planning, the knee joint deformity was solved by knee joint replacement with realignment of the extensor mechanism using quadricepsplasty. After 2 years of surgery, the patient showed no pain and was able to walk with the help of elbow crutches. The Hospital for Special Surgery knee score increased from preoperative 51 points to 85 points during the final follow-up. The postoperative range of motion increased to final flexion of 0– 115°.Conclusion: The advances made so far in the medical care for patients with skeletal dysplasia have improved their overall survival during adulthood. The case report described herein demonstrates the numerous challenges and technical aspects of a successful total knee arthroplasty in cases of spondyloepiphyseal dysplasia, highlighting the need to consider skeletal and soft tissue abnormalities of skeletal dysplasia during the planning and performance of joint replacement surgery.Keywords: spondyloepiphyseal dysplasia, patella dislocation, total knee arthroplastySponer PKorbel MKucera TDove Medical Pressarticlespondyloepiphyseal dysplasiapatella dislocationtotal knee arthroplastyTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 275-283 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spondyloepiphyseal dysplasia patella dislocation total knee arthroplasty Therapeutics. Pharmacology RM1-950
spellingShingle	spondyloepiphyseal dysplasia patella dislocation total knee arthroplasty Therapeutics. Pharmacology RM1-950 Sponer P Korbel M Kucera T Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
description	Pavel Sponer, Martin Korbel, Tomas Kucera Department of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech RepublicCorrespondence: Pavel SponerDepartment of Orthopedic Surgery, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, 500 03, Czech RepublicTel +420 495 833 566Fax +420 495 832 007Email sponer.p@seznam.czBackground: Spondyloepiphyseal dysplasia is the clinical term applied to a group of rare genetic disorders with primary involvement of the vertebrae and epiphyses, predisposing the afflicted individuals toward the premature development of osteoarthritis. There are few reports concerning joint replacement therapy in these patients, particularly describing the role of total hip arthroplasty. In this report, we describe the anatomical and technical aspects of spondyloepiphyseal dysplasia that must be considered during surgical planning and performance of total knee arthroplasty.Case Presentation: A 49-year old woman with a history of spondyloepiphyseal dysplasia suffered from severe osteoarthritis of the knee and irreducible congenital dislocation of the patella. After careful preoperative evaluations and planning, the knee joint deformity was solved by knee joint replacement with realignment of the extensor mechanism using quadricepsplasty. After 2 years of surgery, the patient showed no pain and was able to walk with the help of elbow crutches. The Hospital for Special Surgery knee score increased from preoperative 51 points to 85 points during the final follow-up. The postoperative range of motion increased to final flexion of 0– 115°.Conclusion: The advances made so far in the medical care for patients with skeletal dysplasia have improved their overall survival during adulthood. The case report described herein demonstrates the numerous challenges and technical aspects of a successful total knee arthroplasty in cases of spondyloepiphyseal dysplasia, highlighting the need to consider skeletal and soft tissue abnormalities of skeletal dysplasia during the planning and performance of joint replacement surgery.Keywords: spondyloepiphyseal dysplasia, patella dislocation, total knee arthroplasty
format	article
author	Sponer P Korbel M Kucera T
author_facet	Sponer P Korbel M Kucera T
author_sort	Sponer P
title	Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
title_short	Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
title_full	Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
title_fullStr	Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
title_full_unstemmed	Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review
title_sort	total knee arthroplasty in spondyloepiphyseal dysplasia with irreducible congenital dislocation of the patella: case report and literature review
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/cc91e89ba4a64e9c9c1ee558bf5369a8
work_keys_str_mv	AT sponerp totalkneearthroplastyinspondyloepiphysealdysplasiawithirreduciblecongenitaldislocationofthepatellacasereportandliteraturereview AT korbelm totalkneearthroplastyinspondyloepiphysealdysplasiawithirreduciblecongenitaldislocationofthepatellacasereportandliteraturereview AT kucerat totalkneearthroplastyinspondyloepiphysealdysplasiawithirreduciblecongenitaldislocationofthepatellacasereportandliteraturereview
_version_	1718389475887808512

Total Knee Arthroplasty in Spondyloepiphyseal Dysplasia with Irreducible Congenital Dislocation of the Patella: Case Report and Literature Review

Ejemplares similares