Introduction: Juvenile idiopathic arthritis (JIA) poses lifelong challenges due to chronic inflammation that can lead to permanent deformities like autofusion, severely affecting quality of life.
Case Report: In this case, a 31-year-old female with a 21-year history of bilateral knee pain secondary to JIA faced a unique challenge: bilateral knee autofusion. Radiographs revealed severe bilateral contractures, erosive changes, and autofusion, prompting the decision for simultaneous total knee arthroplasties (TKAs). Evaluation at 1-year postoperatively showed significant improvements in function, pain, and activities of daily living.
Conclusion: This case provides insight into outcomes of simultaneous TKAs in the context of autofusion, highlighting the procedure's viability in resolving debilitating knee conditions, even in the presence of complex factors such as JIA.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823862 | PMC |
http://dx.doi.org/10.13107/jocr.2025.v15.i02.5252 | DOI Listing |
PLoS One
March 2025
Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Periprosthetic joint infections (PJI), along with the extensive medical and surgical interventions required for treatment, impose a substantial psychological burden on patients. Given the need for patients to adapt to long-term physical limitations and ongoing medical challenges, this qualitative study aims to explore the nature of psychological coping amongst patients with chronic cases of PJI. A total of 18 patients (8 men and 10 women, aged 55 to 92) who underwent a total knee or hip arthroplasty revision due to chronic PJI were recruited at a single academic institution between August 2022 and July 2023.
View Article and Find Full Text PDFEur J Epidemiol
March 2025
Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark.
Background And Aim: Major lower extremity amputations (MLEA) are common procedures. Potential changes in surgical strategy and patient characteristics over time have not been described previously. The aim of this study was to investigate the incidence rates and surgical strategies of first-time MLEAs over time from 2010 to 2021.
View Article and Find Full Text PDFArch Orthop Trauma Surg
March 2025
Sana Hospital Sommerfeld, Kremmen, Germany.
Introduction: If revision of a unicompartmental knee arthroplasty (UKA) is required, converting it to a total knee arthroplasty (TKA) remains the favored approach. However, worse functional outcomes after revision from UKA to TKA are reported compared to primary TKAs. One potential driver may be a decline in patella height, limiting knee flexion, and increasing patellofemoral stress.
View Article and Find Full Text PDFBackground: Accurate femoral tunnel positioning is essential for successful anterior cruciate ligament (ACL) reconstruction. Tunnel malposition can happen due to limited arthroscopic visibility as well as anatomic variance. The use of customized patient-specific guides can optimize surgical planning and enhance accuracy.
View Article and Find Full Text PDFPurpose: Total knee arthroplasty (TKA) in patients who underwent previous knee surgeries can be a challenging procedure both technically and for the complication rate. Conversion TKA is affected by a higher risk of infection compared to primary TKA. The aims of this meta-analysis are i) to compare the infectious risk among patients undergoing TKA after a prior hardware implantation, evaluating removal vs maintenance of the hardware, and ii) within the removal group, to compare staged vs concurrent procedure.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!