Total knee arthroplasty in multiple sclerosis.
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.
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Kaitlyn E
KE
Hughes
Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Darren
D
Nickel
Division of Orthopedic Surgery, Department of Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Tanner
T
Gurney-Dunlop
Department of Physical Medicine and Rehabilitation, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Katherine B
KB
Knox
Comorbidities; Disability Progression; Multiple sclerosis; Spasticity; Total knee arthroplasty