Simultaneous Quadruple Joint Replacement (QJR) in Disabling Juvenile Rheumatoid Arthritis – a Case Report with Review of Literature

Document Type: CASE REPORT


All India Institute of Medical Sciences (AIIMS), New Delhi, India


We wish to present a case of 47-year-old patient with Juvenile Rheumatoid Arthritis and ankylosis of both hips and both
knees treated by bilateral hip and knee arthroplasty in a single anaesthesia i.e. Quadruple joint replacement in single
sitting. He was back on his feet from his bed-ridden state within the fortnight following surgery. He has been followed
up for four years and has been performing his activities of daily living independently. We discuss the preoperative
planning, surgical details and post-operative rehabilitation and unique challenges pertaining to this case.
Level of evidence: IV


Main Subjects