title: Shortening femoral osteotomy with stemmed resurfacing total knee arthroplasty for severe flexion contracture in Juvenile Rheumatoid Arthritis.
abstract: Juvenile Rheumatoid Arthritis (JRA) is a progressive disease characterized by pain, swelling, and loss of motion in the joints of adolescents. Total knee arthroplasty (TKA) can be indicated, during the adolescent years, in patients with advanced JRA to alleviate pain and improve function. Because of the relative infrequency of TKA in patients with JRA, evaluation of the type of TKA performed and the results merit review. This case report present two distinct operations performed to obtain full extension. 1. Distal femoral resection with conversion to hinged arthroplasty. 2. Femoral shortening osteotomy with resurfacing TKA.
authors.affiliation: University of North Texas Health Science Center, Texas College of Osteopathic Medicine, Fort Worth, TX 76107, United States.
authors.forename: Brock
authors.initials: B
authors.lastname: Kitchen
authors.affiliation: University of North Texas Health Science Center, Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX 76104, United States.
authors.forename: Hugo B
authors.initials: HB
authors.lastname: Sanchez
authors.affiliation: University of North Texas Health Science Center, Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX 76104, United States.
authors.forename: Russell A
authors.initials: RA
authors.lastname: Wagner
keywords: Femoral osteotomy; Flexion contracture; Juvenile rheumatoid arthritis; Total knee arthroplasty