CASE REPORT
Heterotopic ossifications after two-stage septic revision knee arthroplasty in a rheumatoid arthritis patient
Submission date: 2013-04-11
Final revision date: 2013-07-03
Acceptance date: 2013-09-19
Online publication date: 2013-10-31
Publication date: 2013-10-30
Reumatologia 2013;51(5):389-393
KEYWORDS
TOPICS
Rheumatoid arthritis- aetiology, pathogenesis, clinical features and treatmentOther bone diseasesInfection related rheumatoid diseasesNew therapies in rheumatic diseases
ABSTRACT
We present a case of a 68-year-old woman suffering from rheumatoid arthritis (RA). Due to infection of a knee prosthesis, two-stage treatment was performed: cement spacer, and revision arthroplasty. Staphylococcus aureus was identified from the operative samples. Radiograms carried out 3 months after the spacer implantation showed ossifications on the anterior cortex of the femur. Revision arthroplasty was performed after normalization of CRP, IL-6 and ESR. Ossifications caused significant limitation of ROM of the knee. It is the first case of an RA patient who presented massive heterotopic ossifications after an infection of a total knee arthroplasty (TKA) in our clinical practice. Revision arthroplasty of the knee, particularly of an S. aureus infection, caused a higher risk of heterotopic ossifications.
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Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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