Journal
Acta Orthopaedica et Traumatologica Turcica
Volume 50, Issue 5, Pages 584-586Publisher
TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY
DOI: 10.1016/j.aott.2016.08.018
Keywords
Ochronotic arthropathy; Alkaptonuria; Arthroplasty; Knee joint
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Alkaptonuria is a rare metabolic disease caused by a partial or total deficiency of homogentisic acid oxidase, which results in excess homogentisic acid (HGA) levels. Homogentisic acid and its oxidation products can accumulate in hyaline cartilage, tendons, and ligaments. A 55-year-old male was admitted complaining of worsening chronic pain in his left knee. A radiographic evaluation showed tricompartmental end-stage osteoarthritis. A cemented total knee replacement was performed. At the 10year follow-up, he had returned to full activity, had no knee pain, and was very satisfied with the outcome. No abnormality was observed in the femoral, tibial, or patellar components on radiography. We believe that total knee replacement is a good option in a patient with marked degenerative arthritis secondary to ochronotic arthritis. (C) 2016 Publishing services by Elsevier B.V on behalf of Turkish Association of Orthopaedics and Traumatology.
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