Bilateral hip and knee arthroplasty in ochronotic arthritis.

Q4 Medicine Journal of the Indian Medical Association Pub Date : 2014-02-01
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Abstract

No effective medical treatment is available for the treatment of ochronotic arthritis which is a manifestation of long standing alkaptonuria. A patient of long standing alkaptonuria progressing to debilitating ochronotic arthritis of both hip and knee jointswith severe deformities has been described. He was successfully treated with bilateral total hip and knee arthroplasty with an excellent four-year follow-up. The occurrence of severe osteoporosis in this condition and the importance of advocating surgery before development of severe deformities of the joints to improve the outcome of surgery has been highlighted in this article.

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双侧髋关节和膝关节置换术治疗慢性关节炎。
慢性关节炎是长期尿酸尿的一种表现,目前尚无有效的治疗方法。一个长期尿尿的病人进展到衰弱的髋关节和膝关节的慢性关节炎与严重的畸形已经描述。他成功地接受了双侧全髋关节和膝关节置换术,并进行了四年的随访。这篇文章强调了这种情况下严重骨质疏松症的发生以及提倡在严重关节畸形发生之前进行手术以提高手术效果的重要性。
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期刊介绍: The Journal of the Indian Medical association, popularly known as JIMA, an indexed (in index medicus) monthly journal, has the largest circulation (over 1.75 lakh Copies per month) of all the indexed and other medical journals of India and abroad. This journal is also available in microfilm through Bell & Howels, USA. The founder leaders of this prestigious journal include Late Sir Nilratan Sircar, Dr Bidhan Chandra Roy, Dr Kumud Sankar Ray and other scholars and doyens of the medical profession. It started in the pre-independence era (1930) with only 122 doctors.
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