• Afshin Taheriazam and Amin Saeidinia.
• aDepartment of Orthopedics Surgery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran bMashhad University of Medical Sciences, Mashhad cGuilan University of Medical Sciences, Rasht, Iran.
• Medicine (Baltimore). 2017 Nov 1; 96 (46): e8779.

RationaleRheumatoid arthritis is a chronic systemic connective tissue disease. Total hip and knee arthroplasties are common major orthopaedic procedures worldwide.Patient ConcernsTo date, no studies have presented 1-stage concurrent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in patients with rheumatoid arthritis (RA). We reported a case which is, to our knowledge, the first description of both THA and TKA in a patient with RA simultaneously.DiagnosesHistory of juvenile rheumatoid arthritis (JRA), deterioration of signs and symptoms in history and physical examinations and radiography were lead to making decision for her surgery.InterventionsConcurrent total hip replacement and total knee arthroplasty were performed for patient.OutcomesAfter more than a 2-year follow-up time, the patient showed excellent clinical function and remained satisfied with the surgical outcome. Multiple simultaneous total joint arthroplasty (TJA) is reviewed in this article.LessonsJoint arthroplasty surgeries can be performed in a simultaneous procedure to shorten disability and rehabilitation time with one anesthesia.

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