Arthroplasties of hips and knees ankylosis in an adolescent with acute lymphoblastic leukaemia
- Author:
Dipo Samuel OLABUMUYI
1
;
Babu SUKUMARAN
2
;
Biju BENJAMIN
1
Author Information
1. Department of Orthopaedics, RIPAS Hospital
2. National Cancer Centre, Jerudong Park Medical Centre, Brunei Darussalam
- Publication Type:Case Reports
- Keywords:
Ankylosis;
arthroplasty;
complications;
leukaemia;
sepsis
- From:
Brunei International Medical Journal
2011;7(5):288-293
- CountryBrunei Darussalam
- Language:English
-
Abstract:
Acute lymphoblastic leukaemia (ALL) is the most common malignancy in children, representing one
third of all paediatric malignancies. Patients are often at high risk for complications due aggressive
chemotherapy regimes required for treatment. Musculoskeletal complications include septic arthritis,
osteonecrosis, osteoporosis, avascular necrosis and bony ankylosis. We report the case of a 16-year-
old boy with ALL who developed osteonecrosis of multiple bones on a background of septicaemia, resulting in bony ankylosis of both hips and knees. He was treated with bilateral conversion of kylosed
hips (one hip to total hip replacement, the second hip to Girdlestone arthroplasty) and bilateral ankylosed knees to total knee replacements. He remained well in remission five years after the last surgery. Our case highlights he possible musculoskeletal complications of ALL.
- Full text:2026070710313179988288-93.pdf
