日本リウマチ・関節外科学会雑誌
Online ISSN : 1884-9059
Print ISSN : 0287-3214
ISSN-L : 0287-3214
人工膝関節置換術後に異所性骨化を生じた4例
小田 幸作岸本 郁男松居 孝一神原 清人辻村 知行
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ジャーナル フリー

1993 年 12 巻 2 号 p. 167-172

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Heterotopic ossification after total knee arthroplasty (TKA) is rarely seen. We performed uncemented TKA on 70 knees in 56 patients with osteoarthrosis and rheumatoid arthritis, and heterotopic ossification was observed in 4 knees of 4 cases. It began to form sometime between 2 months to 5 years postoperatively for 2-4 weeks and reached its peak at 6 weeks. The maximum diameter of the newly formed bones was 11-25mm, and the location was in the suprapatellar region in all cases. The possible etiology might be rasped bone dust from the anterior femur, or damaged surrounding soft tissue in the AMK-type operation, or severe preoperative malalignment in cases with rheumatoid arthritis. We have to carry out further examination of other factors to determine what caused flexion disturbance in 2 cases.
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