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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

Postoperative radiographs and multidirectional computed tomography imaging showing that the implant setting was unproblematic, and the exostosis at femoral neck had been removed.
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fig7: Postoperative radiographs and multidirectional computed tomography imaging showing that the implant setting was unproblematic, and the exostosis at femoral neck had been removed.

Mentions: On postoperative radiography and multidirectional computed tomography imaging, the implant setting was unproblematic, and the exostosis at the femoral neck had been removed (Figure 7). Postoperatively we permitted walking with full weight-bearing. There were no complications such as dislocation or infection. At postoperative day 29, because we performed rehabilitation over long period so that the range of motion of the right hip joint was limited in flexion and abduction, the patient was discharged from the hospital with a crutch.


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)

Postoperative radiographs and multidirectional computed tomography imaging showing that the implant setting was unproblematic, and the exostosis at femoral neck had been removed.
© Copyright Policy
Related In: Results  -  Collection

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

fig7: Postoperative radiographs and multidirectional computed tomography imaging showing that the implant setting was unproblematic, and the exostosis at femoral neck had been removed.
Mentions: On postoperative radiography and multidirectional computed tomography imaging, the implant setting was unproblematic, and the exostosis at the femoral neck had been removed (Figure 7). Postoperatively we permitted walking with full weight-bearing. There were no complications such as dislocation or infection. At postoperative day 29, because we performed rehabilitation over long period so that the range of motion of the right hip joint was limited in flexion and abduction, the patient was discharged from the hospital with a crutch.

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