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Total Hip Arthroplasty Using a Polished Tapered Cemented Stem in Hereditary Multiple Exostosis.

Kanda A, Kaneko K, Obayashi O, Mogami A - Case Rep Orthop (2016)

Bottom Line: On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck.He had also developed coxarthrosis and severe pain of the hip joint.The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Juntendo Shizuoka Hospital, Izunagaoka 1129, Izunokuni, Shizuoka 410-2295, Japan.

ABSTRACT
A 61-year-old Japanese man underwent right total hip arthroplasty for hereditary multiple exostosis. At first presentation, he had suffered from coxalgia for a long time. On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck. He had also developed coxarthrosis and severe pain of the hip joint. The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis. Therefore, total hip arthroplasty using a cemented polished tapered stem was performed via a direct lateral approach. Using a cemented polished tapered stem allowed us to deal with the femoral bone transformation and bone substance defectiveness due to exostosis and also minimized the invasiveness of the operation.

No MeSH data available.


Related in: MedlinePlus

Radiographs of the right knee joint showing osseous projection.
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fig2: Radiographs of the right knee joint showing osseous projection.

Mentions: A 61-year-old Japanese man with coxalgia had a medical examination. His previous history was uneventful; however, he was only 149 cm in height (Figure 1) and had suffered from coxalgia for a long time. Radiography revealed osseous projections at the knee and shoulder joints (Figure 2). On radiographs and multidirectional computed tomography imaging of the hip joint a gigantic femoral head was observed, as well as increased shaft angle and large diameter of the femoral neck (Figure 3). The patient had also developed coxarthrosis and severe pain of the right hip joint. The range of motion of the right hip joint was limited in flexion and abduction. His Japanese Orthopedic Association (JOA) hip joint function score was 45. Radiographs showed stage 4 arthritis based on the JOA hip score, with no ectopic ossification.


Total Hip Arthroplasty Using a Polished Tapered Cemented Stem in Hereditary Multiple Exostosis.

Kanda A, Kaneko K, Obayashi O, Mogami A - Case Rep Orthop (2016)

Radiographs of the right knee joint showing osseous projection.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4835646&req=5

fig2: Radiographs of the right knee joint showing osseous projection.
Mentions: A 61-year-old Japanese man with coxalgia had a medical examination. His previous history was uneventful; however, he was only 149 cm in height (Figure 1) and had suffered from coxalgia for a long time. Radiography revealed osseous projections at the knee and shoulder joints (Figure 2). On radiographs and multidirectional computed tomography imaging of the hip joint a gigantic femoral head was observed, as well as increased shaft angle and large diameter of the femoral neck (Figure 3). The patient had also developed coxarthrosis and severe pain of the right hip joint. The range of motion of the right hip joint was limited in flexion and abduction. His Japanese Orthopedic Association (JOA) hip joint function score was 45. Radiographs showed stage 4 arthritis based on the JOA hip score, with no ectopic ossification.

Bottom Line: On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck.He had also developed coxarthrosis and severe pain of the hip joint.The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Juntendo Shizuoka Hospital, Izunagaoka 1129, Izunokuni, Shizuoka 410-2295, Japan.

ABSTRACT
A 61-year-old Japanese man underwent right total hip arthroplasty for hereditary multiple exostosis. At first presentation, he had suffered from coxalgia for a long time. On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck. He had also developed coxarthrosis and severe pain of the hip joint. The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis. Therefore, total hip arthroplasty using a cemented polished tapered stem was performed via a direct lateral approach. Using a cemented polished tapered stem allowed us to deal with the femoral bone transformation and bone substance defectiveness due to exostosis and also minimized the invasiveness of the operation.

No MeSH data available.


Related in: MedlinePlus