Total knee arthroplasty in multiple sclerosis

Abstract We present a case report of total knee arthroplasty complicated by spasticity and contractures in a patient with multiple sclerosis (MS). Four previous case reports in the literature describe adverse outcomes after total knee arthroplasty in persons with MS secondary to severe spasticity. P...

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Bibliographic Details
Published in:Arthroplasty today 2016-09, Vol.2 (3), p.117-122
Main Authors: Hughes, Kaitlyn E, Nickel, Darren, Gurney-Dunlop, Tanner, Knox, Katherine B
Format: Article
Language:English
Subjects:
Arthroplasty in Patients with Rare Conditions
Comorbidities
Disability Progression
Multiple sclerosis
Orthopedics
Spasticity
Total knee arthroplasty
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Summary:Abstract We present a case report of total knee arthroplasty complicated by spasticity and contractures in a patient with multiple sclerosis (MS). Four previous case reports in the literature describe adverse outcomes after total knee arthroplasty in persons with MS secondary to severe spasticity. Preoperative, intraoperative, and postoperative considerations for persons with MS, which may help to improve functional outcomes, are discussed. Prospective research is needed among persons with MS to help determine the timing and selection of persons for arthroplasty and to minimize complications related to spasticity.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2015.12.002