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Total Hip Arthroplasty in Patients with Bilateral Upper-Limb Amelia: A Report of 2 Cases
Joseph T Gibian1, Tyler R Youngman, John C Clohisy
1Washington University School of Medicine, St. Louis, Missouri.
Case:
We report two patients, a 43-year-old man and a 26-year-old woman, with bilateral absence of the upper extremity and severe hip osteoarthritis. The involved hip was the dominant extremity for both patients. Total hip arthroplasty (THA) was performed using a posterior approach with dual-mobility implants. Both patients report satisfactory outcomes including the ability to perform the significant range of motion required for daily activities such as toe-to-head motion.
Conclusion:
In patients with extreme range of motion requirements such as those affected with bilateral upper-limb amelia, a posterior THA with a dual-mobility implant may be safely and successfully performed to treat disabling hip osteoarthritis.
