Alkaptonuria and ochronotic arthropathy

V. V. Trotsenko , V. I. Nuzhdin , T. P. Popova , S. V. Kagramanov , O. A. Kudinov , A. S. Bavashev

N.N. Priorov Journal of Traumatology and Orthopedics ›› 2002, Vol. 9 ›› Issue (1) : 63 -66.

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N.N. Priorov Journal of Traumatology and Orthopedics ›› 2002, Vol. 9 ›› Issue (1) : 63 -66. DOI: 10.17816/vto97136
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Alkaptonuria and ochronotic arthropathy

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Abstract

Four cases of operative treatment for ochronosis arthropathy in patients with alcaptonuria are presented. In 3 patients hip joint and in 1 patient knee joint were affected. Prior to surgery all patients were treated conservatively. Two patients successfully underwent total hip replacement. Intertrochanteric femur osteotomy was performed in 1 case. In the fourth patient arthroplasty of knee joint with allograft from rib cartilage failed due to suppurative arthritis resulted in joint resection and arthrodesis.

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alkaptonuria / congenital deficiency of the enzyme homogentisinase / synovial fluid

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V. V. Trotsenko, V. I. Nuzhdin, T. P. Popova, S. V. Kagramanov, O. A. Kudinov, A. S. Bavashev. Alkaptonuria and ochronotic arthropathy. N.N. Priorov Journal of Traumatology and Orthopedics, 2002, 9(1): 63-66 DOI:10.17816/vto97136

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