Alkaptonuria and ochronotic arthropathy

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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.

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V. Trotsenko

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

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俄罗斯联邦, Moscow

V. Nuzhdin

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

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俄罗斯联邦, Moscow

T. Popova

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

Email: info@eco-vector.com
俄罗斯联邦, Moscow

S. Kagramanov

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

Email: info@eco-vector.com
俄罗斯联邦, Moscow

O. Kudinov

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

Email: info@eco-vector.com
俄罗斯联邦, Moscow

A. Bavashev

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

Email: info@eco-vector.com
俄罗斯联邦, Moscow

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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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