Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report

Background: Ochronotic Arthropathy is very rare disorder (around one in million people). It is due to deficiency of enzyme homogentisic acid oxidase which leads to accumulation of homogentisic acid (HGA) and causes damage of several connective tissues. Case report: 53 years old male presented with p...

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Main Authors: Sanjeev Jain, Sabeel Ahmad, K. Vishwas
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X23000607
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author Sanjeev Jain
Sabeel Ahmad
K. Vishwas
author_facet Sanjeev Jain
Sabeel Ahmad
K. Vishwas
author_sort Sanjeev Jain
collection DOAJ
description Background: Ochronotic Arthropathy is very rare disorder (around one in million people). It is due to deficiency of enzyme homogentisic acid oxidase which leads to accumulation of homogentisic acid (HGA) and causes damage of several connective tissues. Case report: 53 years old male presented with pain and stiffness in both hip and knee since last 10 years, knees were more painful than hips. In last 6 months his condition deteriorated which hampered his daily routine activities. There is history of consanguineous marriage in family, his two sons also suffering from same problems. Intra-operative we found blackish discolouration of soft tissue and cartilage. Conclusion: Fabulous results have been seen after bilateral hip and knee replacement at 18 months of follow up without any complications.
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spelling doaj.art-62ac5a7252d64c20a5adf6290f6ec8e62023-12-10T06:19:28ZengElsevierJournal of Orthopaedic Reports2773-157X2023-12-0124100188Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case reportSanjeev Jain0Sabeel Ahmad1K. Vishwas2Department of Orthopaedics, L.H. Hiranandani Hospital, Powai, Mumbai, IndiaDepartment of Sports Medicine (Senior Resident), King George Medical University, Lucknow, India; Corresponding author. Department of Sports Medicine (Senior Resident), King George Medical University Lucknow, 529 D/ 308 Kalyanpur, West Ring Road, Lucknow, 226022, India.Department of Sports Medicine (Senior Resident), King George Medical University, Lucknow, IndiaBackground: Ochronotic Arthropathy is very rare disorder (around one in million people). It is due to deficiency of enzyme homogentisic acid oxidase which leads to accumulation of homogentisic acid (HGA) and causes damage of several connective tissues. Case report: 53 years old male presented with pain and stiffness in both hip and knee since last 10 years, knees were more painful than hips. In last 6 months his condition deteriorated which hampered his daily routine activities. There is history of consanguineous marriage in family, his two sons also suffering from same problems. Intra-operative we found blackish discolouration of soft tissue and cartilage. Conclusion: Fabulous results have been seen after bilateral hip and knee replacement at 18 months of follow up without any complications.http://www.sciencedirect.com/science/article/pii/S2773157X23000607AlkaptonuriaOchronosisTotal hip replacement (THR)Total knee replacement (TKR)Hip
spellingShingle Sanjeev Jain
Sabeel Ahmad
K. Vishwas
Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
Journal of Orthopaedic Reports
Alkaptonuria
Ochronosis
Total hip replacement (THR)
Total knee replacement (TKR)
Hip
title Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
title_full Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
title_fullStr Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
title_full_unstemmed Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
title_short Complex reconstruction/ replacement of both hip and knee joints in advance stage of ochronotic arthropathy- A case report
title_sort complex reconstruction replacement of both hip and knee joints in advance stage of ochronotic arthropathy a case report
topic Alkaptonuria
Ochronosis
Total hip replacement (THR)
Total knee replacement (TKR)
Hip
url http://www.sciencedirect.com/science/article/pii/S2773157X23000607
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