Alkaptonuria and ochronotic arthropathy

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Abstract

Four cases of operative treatment for ochronosis arthropathy in patients with alcaptonuria are presented. In 3 patients hip joint and in 1 patient knee joint were affected. Prior to surgery all patients were treated conservatively. Two patients successfully underwent total hip replacement. Intertrochanteric femur osteotomy was performed in 1 case. In the fourth patient arthroplasty of knee joint with allograft from rib cartilage failed due to suppurative arthritis resulted in joint resection and arthrodesis.

About the authors

V. V. Trotsenko

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. I. Nuzhdin

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

T. P. Popova

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

S. V. Kagramanov

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

O. A. Kudinov

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

A. S. Bavashev

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

References

Supplementary files

Supplementary Files
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1. JATS XML
2. Rice. 1. Patient K., aged 59, diagnosis: ochronosis; bilateral secondary coxarthrosis. Resected femoral head with destruction of the articular surface. Black areas of pigmented cartilage are visible.

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3. Rice. 2. Patient N., 60 years old, diagnosis: ochronosis; bilateral secondary coxarthrosis; arthrosis of both shoulder and knee joints.a - radiographs of the spine: narrowing of all intervertebral spaces, global disc calcification. Osteophytosis and diffuse osteoporosis. Calcification of the paravertebral ligaments; b - X-ray of the pelvis and hip joints: uneven bone seals in the area of ​​the pubic joint. Damage to the hip joints according to the type of deforming arthrosis; c — radiograph after total arthroplasty of the left hip joint with an ESI prosthesis.

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