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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

Anteroposterior radiograph of the pelvis taken 13 months postoperatively showing ectopic ossification.
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fig8: Anteroposterior radiograph of the pelvis taken 13 months postoperatively showing ectopic ossification.

Mentions: Thirteen months postoperatively the patient had no coxalgia, but the range of motion of the right hip joint was still limited in flexion and abduction. The patient had no limp and no interference with his activities of daily living. His JOA functional test score was 82. There was an ectopic ossification seen radiographically (Figure 8). The patient had returned to his previous work and had no difficulties with everyday activities.


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)

Anteroposterior radiograph of the pelvis taken 13 months postoperatively showing ectopic ossification.
© Copyright Policy
Related In: Results  -  Collection

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

fig8: Anteroposterior radiograph of the pelvis taken 13 months postoperatively showing ectopic ossification.
Mentions: Thirteen months postoperatively the patient had no coxalgia, but the range of motion of the right hip joint was still limited in flexion and abduction. The patient had no limp and no interference with his activities of daily living. His JOA functional test score was 82. There was an ectopic ossification seen radiographically (Figure 8). The patient had returned to his previous work and had no difficulties with everyday activities.

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