Total knee arthroplasty in ochronosis

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Presentation transcript:

Total knee arthroplasty in ochronosis Vaibhav G. Patel, MBBS Arthroplasty Today Volume 1, Issue 3, Pages 77-80 (September 2015) DOI: 10.1016/j.artd.2015.03.003 Copyright © 2015 Terms and Conditions

Figure 1 Diagram showing how phenylalanine is metabolized demonstrating how homogentisate 1,2 dioxygenase deficiency causes accumulation of homogentisic acid and causes alkaptonuria. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 2 Pre-operative anteroposterior and lateral radiographs of the right knee suggesting features of osteoarthritis. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 3 Subcutaneous nodules observed during surgery. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 4 Soft tissue involvement in ochronosis. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 5 Black stiff menisci, articular cartilage and cut surfaces of the tibia and femur. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 6 Ochronotic involvement of undersurface of patella. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 7 Subchondral bone uninvolved in ochronosis. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions

Figure 8 Anteroposterior and lateral radiographs of the right knee obtained in the recovery room after cemented total knee arthroplasty for ochronosis of the knee and secondary arthropathy. Arthroplasty Today 2015 1, 77-80DOI: (10.1016/j.artd.2015.03.003) Copyright © 2015 Terms and Conditions