Browsing by Author "King, Samuel W."

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    Complex regional pain syndrome as a result of total knee arthroplasty: A case report and review of literature
    (Elsevier, 2019-07-24) Royeca, J. Matthew; Cunningham, Conor M.; Pandit, Hemant; King, Samuel W.; Medicine, School of Medicine
    Total knee arthroplasty (TKA) is an effective treatment for patients with end-stage symptomatic knee osteoarthritis. As the aging population grows, the demand for the procedure is projected to increase. While highly successful, TKA has associated risks and complications. Complex regional pain syndrome is one uncommon but debilitating complication that can negatively impact patient satisfaction and quality of life. We present a case of complex regional pain syndrome in the operated leg that resulted in significant functional deficits. Key findings of this case include significant and disproportionate pain in the joint, altered cutaneous sensation around the joint, and decreased range of motion in flexion in the absence of any mechanical issues with the TKA. Because of the debilitating nature of this condition, patients must be fully informed of and realize the risks associated with undergoing a widely appreciated procedure such as TKA.
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    Late-onset fibrodysplasia ossificans progressiva with atypical presentation: A case report
    (Elsevier, 2019-07-19) Cunningham, Conor M.; Royeca, J. Matthew; King, Samuel W.; Pandit, Hemant; Medicine, School of Medicine
    Fribrodysplasia ossificans progressiva (FOP) is a rare genetic disease characterized by progressive heterotopic ossification of connective tissues, episodic flare-ups and bilateral deformities of the great toe (hallux valgus). As faulty tissue repair processes progressively calcify tissue, patients suffer from swelling and limited mobility in that area. We present a case of a 66-year-old woman who had initially presented at age 54 without the hallux valgus deformity or classic-type flare-ups. As there is currently no cure for FOP, management is mainly symptom control. Physicians should still consider FOP if imaging indicates progressive heterotopic ossification in the absence of hallux valgus in an older patient.
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    Periprosthetic femoral fractures following total hip and total knee arthroplasty
    (Elsevier, 2018-11) King, Samuel W.; Lamb, Jonathan N.; Cage, Emily S.; Pandit, Hemant; Graduate Medical Education, School of Medicine
    Total joint arthroplasties are increasing worldwide in both frequency and prevalence. When successful, they offer great improvements in quality of life. However, fractures around implants are often difficult to manage and require prolonged inpatient stays in tertiary hospitals. Management may differ between surgeons, but most patients will be managed surgically if mobility or joint stability is threatened. Those affected are often at higher risk from surgery, are frailer and at higher risk of mortality and a lifelong reduction in mobility. The incidence of these fractures is increasing, and patients should appreciate the risk and implications of this recognised complication of joint arthroplasty.