Surgical strategies in management of ankylosed bilateral hips and knees in crouched posture.
BMJ Case Rep
; 13(10)2020 Oct 30.
Article
en En
| MEDLINE
| ID: mdl-33127693
ABSTRACT
A 26-year-old wheelchair-bound man was brought to our institute with progressive painful deformity of both lower limbs involving bilateral hip and knee for the past 5 years. The patient was wheelchair-bound for the past 18 months. He was only able to crawl to meet his locomotor demands. On examination, the patient was in a crouched posture with mild kyphosis at the thoracolumbar region and ankylosis of bilateral hip and knee in an unfavourable position. Radiological and serological evaluation diagnosed him to be a case of neglected ankylosing spondylosis. We planned for arthroplasty of the bilateral hip and knee for correcting his posture and to regain his locomotor ability. The severity of the deformity mandated extensive releases and the handling of neurovascular structures. Hence, a holistic treatment plan with various surgical strategies was devised to manage his deformities. The patient made a good recovery and regained his locomotor ability without any major complications at a 2-year follow-up.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Postura
/
Artroplastia
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Posicionamiento del Paciente
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Articulación de la Cadera
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Articulación de la Rodilla
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Anquilosis
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
BMJ Case Rep
Año:
2020
Tipo del documento:
Article
País de afiliación:
India