ArticleCase reports in orthopedics2019
Total Knee Arthroplasty in Ochronosis Arthropathy: A Case Report and Systematic Review.
Article in Case reports in orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Minocycline black bone disease in arthroplasty: a systematic review.Journal of orthopaedic surgery and research · 2021Pooled it
- Incidental Discovery of Ochronosis During Total Knee Arthroplasty: A Case Report and Literature Review.Arthroplasty today · 2026Article
- Total Knee Arthroplasty in Alkaptonuric Patient With Ochronotic Arthropathy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Article
- Total Joint Arthroplasty in Ochronotic Arthritis of Lower Extremities.Indian journal of orthopaedics · 2025Article
- Article
- Ochronotic arthropathy: skeletal manifestations and orthopaedic treatment.EFORT open reviews · 2025Review
- Blackish Discoloration of Articular Cartilage during Total Knee Replacement; a Case Report.Journal of orthopaedic case reports · 2024Article
- Comprehensive Review on Distal Femur Fractures: From Epidemiology to Treatment Strategies.Cureus · 2024Review
- Arthroplasty in Ochronotic Arthropathy: 3 Replacements in a Single Patient with a Long-term Follow-up of 11 Years.Journal of orthopaedic case reports · 2024Article
- Total Hip Arthroplasty in Ochronotic Arthropathy: A Case Report.Journal of orthopaedic case reports · 2023Article
- Arthroscopic ankle arthrodesis in two alkaptonuria patients.BMJ case reports · 2023Article
- Article
- Total Knee Replacement in Alkaptonuric Ochronosis.Acta bio-medica : Atenei Parmensis · 2022Article
- Clinical and Surgical Insights on Bilateral Total Knee Arthroplasty in Ochronotic Arthropathy: A Case-based Review.Journal of orthopaedic case reports · 2021Article
- Hip and knee replacement in patients with ochronosis: Clinical experience and literature review.Orthopedic reviews · 2020Article
- Long-term follow-up of bilateral hip and knee arthroplasty secondary to ochronotic arthropathy.Arthroplasty today · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOchronosis arthropathy (OcA) is a rare condition which may be treated with total knee arthroplasty (TKA) at the end stage. The condition is often discovered only intraoperatively and the ideal choice of TKA is unknown. CASE PRESENTATION: A 54-year-old male with worsening chronic bilateral mechanical knee pain had failed conservative therapy. Posterior stabilised (PS), cemented TKA and patella resurfacing was performed. Intraoperatively, collagenous structures such as the menisci and cartilage were noted to be black. Histological examination showed deposition of large amorphous brown material suggestive of ochronosis. He recovered well and underwent TKA of the contralateral knee the following year. At 2 years postindex TKA, his outcome scores improved and he was satisfied. DISCUSSION AND
conclusionWith increasing TKA performed worldwide, a surgeon may eventually be surprised by the above findings once in their lifetime. However, OcA may be considered a likely diagnosis and it is safe to proceed with TKA. There is no particular TKA design that proved to be superior in our systematic review of 19 publications regarding TKA as all reported good outcomes. However, as the pathogenesis of OcA appears to be inflammatory in nature, we suggest using cemented PS TKA with resurfacing of the patella.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.