Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Jan 27;3(3):147-150.
doi: 10.1016/j.artd.2016.11.001. eCollection 2017 Sep.

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture

Maher Baroudi  1 , Pascale Derome  1 , Michel Malo  1
Affiliations
Case Reports

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture

Maher Baroudi et al. Arthroplast Today. .

Abstract

Although heterotopic ossification (HO) after total hip arthroplasty has been very well described as a cause of disability, much less was written on clinical dysfunction of HO after total knee arthroplasty (TKA). To the extent of our knowledge, there has been no published case of complete bony ankylosis, secondary to severe generalized HO, after a TKA. We present the case of a 67-year-old female treated successfully, with surgical excision of ossification and TKA revision surgery, using a rotating hinge system.

Keywords: Ankylosis; Heterotopic ossification; Hinged prosthesis; Total knee arthroplasty.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Preoperative radiographs (anteroposterior (AP) (a), lateral (b), and Merchant (c) views) showing extensive heterotopic ossification of the left total knee arthroplasty.
Figure 2
Figure 2
Intraoperative images showing (a) distal femoral bone deficit and poor bone quality after implant removal, (b) posterior heterotopic ossification (arrow) after distal femoral resection, and (c) prosthesis implantation with a segmental distal femoral replacement and rotating-hinge knee system tibial platform with circumferential metallic augment.
Figure 3
Figure 3
Postoperative radiographs (a) standing AP, (b) lateral, and (c) Merchant views of the left knee at 1-year postoperatively.
See this image and copyright information in PMC

References

    1. Dalury D.F., Jiranek W.A. The incidence of heterotopic ossification after total knee arthroplasty. J Arthroplasty. 2004;19(4):447. - PubMed
    1. Furia J.P., Pellegrini V.D., Jr. Heterotopic ossification following primary total knee arthroplasty. J Arthroplasty. 1995;10(4):413. - PubMed
    1. Harwin S.F., Stein A.J., Stern R.E., Kulick R.G. Heterotopic ossification following primary total knee arthroplasty. J Arthroplasty. 1993;8(2):113. - PubMed
    1. Rader C.P., Barthel T., Haase M., Scheidler M., Eulert J. Heterotopic ossification after total knee arthroplasty. 54/615 cases after 1–6 years' follow-up. Acta Orthop Scand. 1997;68(1):46. - PubMed
    1. Pham J., Kumar R. Heterotopic ossification after total knee arthroplasty. Am J Orthop (Belle Mead NJ) 1997;26(2):141. - PubMed

Publication types

LinkOut - more resources