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. 2021 Apr 2;3(1):4.
doi: 10.1186/s42836-020-00061-5.

Total knee replacement in Osteogenesis Imperfecta: a case report and review of the literature

Allan Roy Sekeitto  1 , Kaeriann van der Jagt  2 , Nkhodiseni Sikhauli  2 , Dick Ronald van der Jagt  2
Affiliations

Total knee replacement in Osteogenesis Imperfecta: a case report and review of the literature

Allan Roy Sekeitto et al. Arthroplasty. .

Erratum in

Abstract

Background: A review of the literature revealed that only 9 total knee replacements were performed on patients with osteogenesis imperfecta (OI), with one being a revision procedure of a periprosthetic fracture. Of the 9 primary procedures, all used cemented prostheses, and 3 patients had an osteotomy at the same procedure. Our patient required a hinged prosthesis because of collateral ligament incompetence and is the first such case reported in the literature.

Case presentation: Presented here is a total knee replacement performed on a 52-year-old patient with osteogenesis imperfecta (OI) who injured her left knee and ruptured her anterior cruciate ligament. Her right knee suffered from severe degenerative changes with an incompetent medial collateral ligament. It was decided to replace the right knee before addressing the left knee injury. A hinged revision prosthesis was used. The smallest components available were used because of the small anatomical bony dimensions.

Conclusion: This is the first reported case of a hinged prosthesis and highlights the soft tissue component of osteogenesis imperfecta. We also highlight the technical problems with these patients, including mal-alignment, small bony dimensions and bone fragility.

Keywords: Arthroplasty; Hinged prosthesis; Osteogenesis imperfecta; Total knee replacement.

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Conflict of interest statement

DR received personal fees from Smith+Nephew. The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
A preoperative AP radiograph demonstrating the degenerative changes in the knee
Fig. 2
Fig. 2
A preoperative lateral radiograph demonstrating the degenerative changes in the knee
Fig. 3
Fig. 3
A postoperative AP and lateral radiograph of the knee demonstrating the cemented hinged prosthesis
See this image and copyright information in PMC

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