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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

We used a cemented polished tapered stem transmitted load to the laudable distal part of the femur.
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fig9: We used a cemented polished tapered stem transmitted load to the laudable distal part of the femur.

Mentions: To perform less invasive surgery, we used a cemented polished tapered stem. We performed femoral neck osteotomy in the area of the lesser trochanter because of the valgus deformity of the proximal femur, the expansion of the cervical diameter, and the medial osseous projection. Owing to the fragilitas ossium characteristics of the proximal femur, we used a cemented polished tapered stem, which transmitted load to the distal part of the femur (Figure 9). Thirteen months after the operation, heterotopic ossification was present, but there was no local recurrence of the osseous projection, and no complications such as dislocation or infection had occurred.


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)

We used a cemented polished tapered stem transmitted load to the laudable distal part of the femur.
© Copyright Policy
Related In: Results  -  Collection

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

fig9: We used a cemented polished tapered stem transmitted load to the laudable distal part of the femur.
Mentions: To perform less invasive surgery, we used a cemented polished tapered stem. We performed femoral neck osteotomy in the area of the lesser trochanter because of the valgus deformity of the proximal femur, the expansion of the cervical diameter, and the medial osseous projection. Owing to the fragilitas ossium characteristics of the proximal femur, we used a cemented polished tapered stem, which transmitted load to the distal part of the femur (Figure 9). Thirteen months after the operation, heterotopic ossification was present, but there was no local recurrence of the osseous projection, and no complications such as dislocation or infection had occurred.

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