{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:07:20Z","timestamp":1783480040509,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nOchronotic arthropathy mainly involves the spine and large joints. Along with blackening of the joint, degeneration rapidly progresses mostly in the knee, resulting in symptoms by the 4th or 5th decade. As the role of medical treatment and joint conservation surgeries are limited in the early stages, joint replacement is the only effective option in one third of patients. We present a case of the unique complication of patellar ligament rupture during total knee replacement (TKR) of an ochronotic joint. A 51-year-old male presented with bilateral severe tricompartmental osteoarthritis with varus deformities and restriction of motion. Bilateral TKR was performed. At the 28-month follow-up, the patient was walking pain free with acceptable position of implants in radiographs. To our knowledge this is the first report of rupture of the patellar ligament during TKR of an ochronotic joint. We propose appropriate preoperative preparation and greater care in the handling of the tendon during TKR of an ochronotic joint in order to avoid complication.\n\n \n\n\u00d6zet\n\n \n\nOkronotik artropati \u00e7o\u011funlukla omurga ve b\u00fcy\u00fck eklemleri tutan bir rahats\u0131zl\u0131kt\u0131r. Eklemin kararmas\u0131yla birlikte, h\u0131zl\u0131 bir \u015fekilde ve ba\u015fl\u0131ca dizde meydana gelen dejenerasyon 4. veya 5. dekatta belirti vermeye ba\u015flar. T\u0131bbi tedavinin ve eklem koruma cerrahilerinin erken d\u00f6nemdeki rol\u00fc k\u0131s\u0131tl\u0131 oldu\u011fundan, hastalar\u0131n \u00fc\u00e7te birinde tek etkili y\u00f6ntem eklem replasman\u0131d\u0131r. \u00c7al\u0131\u015fmam\u0131zda okronotik bir eklemin total diz artroplastisi (TDA) s\u0131ras\u0131nda ender g\u00f6r\u00fclen komplikasyonlardan patellar ba\u011f r\u00fcpt\u00fcr\u00fc olu\u015fan bir olgu bildiriyoruz. Elli bir ya\u015f\u0131ndaki erkek hasta, her iki dizinde varus deformitesi ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na yol a\u00e7an \u015fiddetli \u00fc\u00e7 kompart\u0131manl\u0131 osteoartrit \u015fikayetiyle bize ba\u015fvurmu\u015ftu. Hastaya \u00e7ift tarafl\u0131 TDR yap\u0131ld\u0131. Yirmi sekiz ay sonraki kontrol\u00fcnde, hastan\u0131n a\u011fr\u0131s\u0131z bir \u015fekilde y\u00fcr\u00fcyebildi\u011fi ve radyografilerinde implantlar\u0131n uygun konumda oldu\u011fu g\u00f6r\u00fcld\u00fc. Bildi\u011fimiz kadar\u0131yla \u00e7al\u0131\u015fmam\u0131z, okronotik eklemin TDA\u2019s\u0131 s\u0131ras\u0131nda patellar ba\u011f r\u00fcpt\u00fcr\u00fcn\u00fcn g\u00f6r\u00fcld\u00fc\u011f\u00fc ilk \u00e7al\u0131\u015fmad\u0131r. Komplikasyonlar\u0131 engellemek i\u00e7in okronotik eklemin TDA\u2019s\u0131 s\u0131ras\u0131nda tendona azami dikkatle yakla\u015f\u0131lmas\u0131n\u0131 ve ameliyat \u00f6ncesi gerekli haz\u0131rl\u0131klar\u0131n yap\u0131lmas\u0131n\u0131 \u00f6neriyoruz.<\/jats:p>","DOI":"10.3944\/aott.2014.3245","type":"journal-article","created":{"date-parts":[[2014,6,11]],"date-time":"2014-06-11T17:33:16Z","timestamp":1402507996000},"page":"367-370","source":"Crossref","is-referenced-by-count":10,"title":["Patellar ligament rupture during total knee arthroplasty in an ochronotic patient"],"prefix":"10.5152","volume":"48","author":[{"given":"Madan","family":"Mohan Sahoo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"Kumar Mahapatra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gopal","family":"Chandra Sethi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Kumar Dash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2842\/2796","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:20:02Z","timestamp":1763464802000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.3245","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}