Open AccessBlack Femoral Head Due to Ochronotic Arthropathy: A Case Report
Author(s) -
Mahlisha Kazemi,
Hamid Rabie,
Mohammad Sharafi
Publication year - 2021
Publication title -
journal of orthopedics and spine trauma
Language(s) - English
Resource type - Journals
eISSN - 2538-4600
pISSN - 2538-2330
DOI - 10.18502/jost.v6i4.5569
Subject(s) - alkaptonuria , medicine , arthropathy , surgery , femoral head , arthroplasty , complication , orthopedic surgery , ochronosis , osteoarthritis , dermatology , pathology , alternative medicine
Background: Ochronotic arthropathy is a rare complication in patients with alkaptonuria (AKU) that occurs as a result of ochronotic pigment accumulation in the joints.
Case Report: This case report presents a 54-year-old patient with severe degenerative arthritis who underwent total hip arthroplasty on both sides within an interval of three years. The diagnosis was made by observation of a dark capsule and femoral head during the second surgery. The surgical treatments significantly reduced the pain and improved the range of motion (ROM).
Conclusion: Orthopedic surgeons must be vigilant about clinical manifestations of this rare condition, before and during the surgery. Arthroplasty is a favourable therapeutic option in patients suffering from ochronotic arthropathy.