In this report, we present a case of a 57-year-old man complaining of pain in both his hips. Clinically, the patient reported lamenessandreductionintherangeofmotionof the hips. Radiographic imaging showed a very narrow medullary femoral canal, confirmed by a computed tomography scan. In consideration of the narrowness of the femoral canal and cortex thickening, and due to the rarity of the clinical case, we opted to use a custom-made prosthesis. We performed total hip arthroplasty, initially on the right side. One year later, we repeated the procedure on the left side. One year after the last surgery, the patient reported well-being and continuous improvement in walking, with no complications. This case report highlights the features and the critical issues related to this kind of surgery in patients affected by Paget’s disease of the bone and the importance of custom-made implants in challenging cases.

Bilateral cemented custom-made total hip arthroplasty in paget’s diseasewithfemoral cortical thickening and canal narrowing / R. D'Ambrosi, L. Ballini, F. Valli, S. Guarino, M. Rubino, N. Ursino. - In: JOINTS. - ISSN 2282-4324. - 7:4(2019), pp. 222-227. [10.1055/S-0041-1730381]

Bilateral cemented custom-made total hip arthroplasty in paget’s diseasewithfemoral cortical thickening and canal narrowing

R. D'Ambrosi
Primo
;
L. Ballini;
2019

Abstract

In this report, we present a case of a 57-year-old man complaining of pain in both his hips. Clinically, the patient reported lamenessandreductionintherangeofmotionof the hips. Radiographic imaging showed a very narrow medullary femoral canal, confirmed by a computed tomography scan. In consideration of the narrowness of the femoral canal and cortex thickening, and due to the rarity of the clinical case, we opted to use a custom-made prosthesis. We performed total hip arthroplasty, initially on the right side. One year later, we repeated the procedure on the left side. One year after the last surgery, the patient reported well-being and continuous improvement in walking, with no complications. This case report highlights the features and the critical issues related to this kind of surgery in patients affected by Paget’s disease of the bone and the importance of custom-made implants in challenging cases.
Canal narrowing; Custom-made hip arthroplasty; Femoral cortical thickening; Paget’s disease; Rare disease
Settore MED/33 - Malattie Apparato Locomotore
2019
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/946847
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