{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:21Z","timestamp":1787755641119,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","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>Nail-patella syndrome (NPS) is a genetic disorder causing anatomical abnormalities about the knee, including significant patellar hypoplasia. We present a case of a patient with NPS and severe knee osteoarthritis undergoing computer-assisted total knee arthroplasty (TKA). Several intraoperative anatomical challenges were appreciated. Postoperatively, the patient developed arthrofibrosis requiring manipulation; however, his final outcome was favorable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Computer assistance may improve precision in patients with NPS undergoing TKA, but surgeons must be aware of the associated anatomic abnormalities and potentially increased risk of arthrofibrosis. Patellar resurfacing is often not feasible because of lack of bone stock.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00754","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T14:09:30Z","timestamp":1690898970000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Total Knee Arthroplasty Using Computer-Assisted Navigation in a Patient with Nail-Patella Syndrome"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3561-1648","authenticated-orcid":false,"given":"Reese","family":"Courington","sequence":"first","affiliation":[{"name":"Orlando Health Jewett Orthopaedic Institute, Florida State College of Medicine, University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1572-3482","authenticated-orcid":false,"given":"Matthew","family":"Kerr","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopaedic Institute, Florida State College of Medicine, University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4891-6312","authenticated-orcid":false,"given":"Obinna","family":"Adigweme","sequence":"additional","affiliation":[{"name":"Orlando Orthopaedic Center, University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1136\/jmg.40.3.153","article-title":"Nail patella syndrome: a review of the phenotype aided by Developmental Biology","volume":"40","author":"Sweeney","year":"2003","journal-title":"J Med Genet."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.arthro.2004.10.013","article-title":"Arthroscopic findings in the knee in nail-patella syndrome: a case report","volume":"21","author":"Doughty","year":"2005","journal-title":"Arthroscopy."},{"issue":"4","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1111\/j.1399-0004.2005.00508.x","article-title":"Human syndromes with congenital patellar anomalies and the underlying gene defects","volume":"68","author":"Bongers","year":"2005","journal-title":"Clin Genet."},{"issue":"4","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1302\/0301-620X.98B4.37025","article-title":"Radiological characteristics of the knee joint in nail patella syndrome","volume":"98-B","author":"Tigchelaar","year":"2016","journal-title":"Bone Joint J."},{"issue":"8","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.otsr.2015.09.033","article-title":"Nail patella syndrome: knee symptoms and surgical outcomes. A questionnaire-based survey","volume":"101","author":"Tigchelaar","year":"2015","journal-title":"Orthop Traumatol Surg Res."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.knee.2018.11.014","article-title":"Total Knee Arthroplasty in a patient with nail-patella syndrome (NPS)","volume":"26","author":"Curbo","year":"2019","journal-title":"Knee."},{"issue":"6","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1007\/s43465-020-00161-z","article-title":"Computer navigation-assisted knee replacement demonstrates improved outcome compared with conventional knee replacement at mid-term follow-up: a systematic review and meta-analysis","volume":"54","author":"Ayekoloye","year":"2020","journal-title":"Indian J Orthop."},{"issue":"2","key":"bib8-20240805","first-page":"129","article-title":"Total knee arthroplasty for osteoarthritis in hereditary onycho-osteodysplasia (nail-patella syndrome): a case report","volume":"26","author":"Lachiewicz","year":"1997","journal-title":"Am J Orthop (Belle Mead NJ)."},{"issue":"3","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"e20.00216","DOI":"10.2106\/JBJS.CC.20.00216","article-title":"Unicompartmental knee arthroplasty in a patient with nail-patella syndrome","volume":"10","author":"Yang","year":"2020","journal-title":"JBJS Case Connect."},{"issue":"10","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"3012","DOI":"10.1007\/s00167-016-4044-y","article-title":"Management of patellar problems in skeletally mature patients with nail\u2013patella syndrome","volume":"25","author":"Louboutin","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"issue":"10","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"e615","DOI":"10.3928\/01477447-20110826-12","article-title":"Radiographic results of an accelerometer-based, handheld surgical navigation system for the tibial resection in total knee arthroplasty","volume":"34","author":"Nam","year":"2011","journal-title":"Orthopedics."},{"issue":"8","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/j.arth.2007.08.001","article-title":"Meta-analysis of alignment outcomes in computer-assisted total Knee Arthroplasty surgery","volume":"22","author":"Mason","year":"2007","journal-title":"J Arthroplasty."},{"issue":"4","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.arth.2010.05.008","article-title":"Intramedullary vs extramedullary femoral alignment guides","volume":"26","author":"Meding","year":"2011","journal-title":"J Arthroplasty."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:32Z","timestamp":1787751932000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00754"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00754","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}