关节炎
医学
髌骨
全膝关节置换术
外科
骨关节炎
发育不良
关节置换术
骨科手术
病理
替代医学
作者
Reese Courington,Matthew S. Kerr,Obinna O. Adigweme
出处
期刊:JBJS case connector
[Journal of Bone and Joint Surgery]
日期:2023-01-01
卷期号:13 (3)
被引量:1
标识
DOI:10.2106/jbjs.cc.22.00754
摘要
Nail-patella syndrome (NPS) is a genetic disorder causing anatomical abnormalities about the knee, including significant patellar hypoplasia. We present a case of a patient with NPS and severe knee osteoarthritis undergoing computer-assisted total knee arthroplasty (TKA). Several intraoperative anatomical challenges were appreciated. Postoperatively, the patient developed arthrofibrosis requiring manipulation; however, his final outcome was favorable.Computer assistance may improve precision in patients with NPS undergoing TKA, but surgeons must be aware of the associated anatomic abnormalities and potentially increased risk of arthrofibrosis. Patellar resurfacing is often not feasible because of lack of bone stock.
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