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Total hip arthroplasty and Paget's disease: case report and literature review
Carlo Cardile1, Carlo Cazzaniga2, Angelo Mosca3
1asst rhodense ospedale di Garbagnate Milanese . ccardile@asst-rhodense.it.
Insights
Paget
Area of Science:
- Orthopedics and bone research.
- Geriatric medicine and chronic disease management.
Background:
- Paget's disease of bone (PDB) is a chronic inflammatory bone disorder.
- Severe hip osteoarthritis in PDB patients presents surgical challenges.
Approach:
- This study details a total hip replacement (THA) case in a 71-year-old PDB patient.
- A comprehensive literature review on THA for Paget's disease was conducted.
Key Points:
- THA is a viable surgical option for severe hip osteoarthritis in Paget's disease.
- The case highlights the surgical considerations for PDB patients undergoing THA.
Conclusions:
- Further research is needed to compare cemented and cementless THA in PDB.
- Optimizing implant choice can improve outcomes for Paget's disease patients undergoing hip replacement.
Abstract:
Paget's disease (PDB) is a chronic osteopathy more common in male, Caucasic, European population, after the age of 50 years, that can lead to bone deformities. A challenging surgical solution for affected hip with severe hip osteoarthritis is total hip replacement (THA). We describe a case of THA in a 71-year-old patient with PDB and we present a literature review. In particular we find out that more studies comparing cementless THA with cemented one are necessary, in order to understand if one implant is better than the other.
