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J Orthop Case Rep



Total knee arthroplasty in a case of diffuse idiopathic skeletal hyperostosis; challenges in ligament balancing and deformity correction.


Diffuse skeletal idiopathic hyperostosis is a non-inflammatory systemic skeletal condition in which there is ossification of ligaments, tendons, and joint capsule. Although the radiological changes and clinical manifestation of diffuse idiopathic skeletal hyperostosis (DISH) in the spine have been well defined in the literature, the changes in the knee and their implications on knee replacement are unclear.