{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:58Z","timestamp":1787755378283,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Juvenile rheumatoid arthritis (JRA) is associated with severe flexion contracture of the knees disabling a patient's ability to walk. Although various treatment modalities are available in the literature, we report a 2-stage procedure in a case of a 22-year-old female JRA patient with bilateral severe flexion deformity of the knee: stage 1\u2014correction of the flexion contracture deformity by ring fixators and stage 2\u2014total knee arthroplasty (TKA) for arthritis. To the best of our knowledge, no such approach has been reported previously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>An Ilizarov ring fixator is a safe technique for gradual correction of a severe flexion deformity. Subsequent TKA can be performed as a standard procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00401","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T14:04:04Z","timestamp":1646316244000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Two-Staged Total Knee Arthroplasty in Juvenile Rheumatoid Arthritis with Severe Flexion Deformity"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6209-7168","authenticated-orcid":false,"given":"Ratnakar","family":"Vecham","sequence":"first","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9463-8950","authenticated-orcid":false,"given":"Adarsh","family":"Annapareddy","sequence":"additional","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-2791","authenticated-orcid":false,"given":"Kushal","family":"Hippalgaonkar","sequence":"additional","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2821-8648","authenticated-orcid":false,"given":"Chandra","family":"Bhushan","sequence":"additional","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2834-6970","authenticated-orcid":false,"given":"Sawankumar","family":"Pawar","sequence":"additional","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2207-8004","authenticated-orcid":false,"given":"A.V. Gurava","family":"Reddy","sequence":"additional","affiliation":[{"name":"Sunshine Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"issue":"11 suppl A","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1302\/0301-620X.94B11.30512","article-title":"Fixed flexion deformity and total knee arthroplasty","volume":"94","author":"Su","year":"2012","journal-title":"J Bone Joint Surg Br"},{"issue":"4 suppl 1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.arth.2006.12.110","article-title":"Management of flexion contracture in total knee arthroplasty","volume":"22","author":"Scuderi","year":"2007","journal-title":"J Arthroplasty"},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/00003086-199211000-00031","article-title":"The management of fixed flexion contractures during total knee 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fixation","volume":"2","author":"Vulcano","year":"2016","journal-title":"J Limb Lengthen Reconstr"},{"issue":"12","key":"bib14-20240805","first-page":"7","article-title":"Effectiveness of the Ilizarov method in the management of fixed flexion deformities of the knee joint","volume":"4","author":"Vishnu","year":"2017","journal-title":"Int J Contemp Med Res."},{"key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"929","DOI":"10.18203\/issn.2455-4510.IntJResOrthop20193837","article-title":"Gradual distraction for treatment of severe knee flexion contractures using the Ilizarov's apparatus","volume":"5","author":"Sud","year":"2019","journal-title":"Int J Res Orthop"}],"container-title":["JBJS Case 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