scholarly journals Ankylosed joint replacement with custom total joint prosthesis and custom miniplates.

2020 ◽  
Vol 9 (6) ◽  
pp. e15963095
Author(s):  
Douglas Voss de Oliveira ◽  
José Thiers Carneiro Junior ◽  
Eber Coelho Paraguassu ◽  
Luis Raimundo Serra Rabelo

When managing a severely ankylosed joint in a patient with a history of multiple previous operations since the development phase, it is necessary besides the total joint replacement also the orthognathic surgery. Miniplates and total joint custom-made prosthesis are the state of arts in accuracy and precision; therefore use them concurrently in a complex surgery, such this, is a suitable treatment option. A 44-year-old male patient with bilateral  temporomandibular joint ankylosis where the TMJ architecture was completely replaced by a large bone mass was treated through orthognathic surgery with customized cutting guides and customized material for maxilla, jaw and chin fixation, in addition to the installation of two complete custom-made joint-prosthesis in one-stage surgery. This is the first report in the literature using custom Miniplates and Joint-Prosthesis for treatment of Ankylosis. The treatment was successful and the patient benefited from adequate aesthetics and function.

2014 ◽  
Vol 2 (1) ◽  
pp. 3-12
Author(s):  
Stuart B. Goodman

Joint replacement of the lower extremity in Juvenile Idiopathic Arthritis (JIA) is becoming more commonly performed worldwide. These young adults experience severe pain and disability from end-stage arthritis, and require joint replacement of the hip or knee to alleviate pain, and restore ambulation and function. These procedures are very challenging from the anesthesia and surgical point of view, due to small overall proportions, numerous bony and other deformities and soft tissue contractures. Joint replacement operations for JIA are best performed by experienced teams, where pre-operative and peri-operative care, and post-operative rehabilitation can be optimized in a collaborative, patient-centered environment.


2017 ◽  
Vol 10 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Björn Lindell ◽  
Andreas Thor

Temporomandibular joint replacement (TJR) with alloplastic prosthesis has shown promising long-term results in end stage joint disorders. We present a case of young woman with painful ankylosis that where reconstructed with TJR, due to a complex mandibular fracture with dislocation of the left condyle into the middle cranial fossa two years earlier. At the age of 18 the subject underwent a total joint replacement with custom-made alloplastic TMJ prosthesis. To determine the bone response and remodeling activity around the prosthesis, a F18 PET/CT-scan was used. No sign of increased remodeling or pathology were seen in the imaging after the reconstruction. Four years postoperatively the subject reports no pain and excellent jaw function.


2016 ◽  
Vol 29 (4) ◽  
pp. 500-507 ◽  
Author(s):  
S. F. DeFroda ◽  
E. Lamin ◽  
J. A. Gil ◽  
K. Sindhu ◽  
S. Ritterman

Sign in / Sign up

Export Citation Format

Share Document