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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. 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.

SUBMITTER: Hughes KE 

PROVIDER: S-EPMC5045468 | biostudies-other | 2016 Sep

REPOSITORIES: biostudies-other

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Total knee arthroplasty in multiple sclerosis.

Hughes Kaitlyn E KE   Nickel Darren D   Gurney-Dunlop Tanner T   Knox Katherine B KB  

Arthroplasty today 20160323 3


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 det  ...[more]

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