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Total Hip Arthroplasty in Ochronotic Arthropathy: A Case Report
Sujoy Bhattacharjee1, Akhil Ahlawat1, Avijeet Prasad1
1Department of Orthopaedics, Sarvodaya Hospital Research Centre, Robotic Joint Replacement Unit, Sector 8, Faridabad, Haryana, India.
Introduction:
Total hip arthroplasty (THA) is a common procedure used to treat various hip conditions. However, patients with ochronotic arthropathy, a rare genetic disorder characterized by the abnormal accumulation of homogentisic acid, are at a higher risk of post-surgical dislocation and instability due to poor bone quality and joint degeneration.
Case Report:
This case study features a 52-year-old male patient diagnosed with ochronotic arthropathy who underwent bilateral THA with the use of a dual mobility cup (DMC). Ochronotic arthropathy had caused significant joint degeneration and stiffness, leading to considerable functional impairment.
Conclusion:
The application of a DMC in THA for patients with ochronotic arthropathy has shown promising outcomes. The DMC offers increased range of motion and improved stability, effectively reducing the risk of post-surgical dislocation and implant failure. This case study highlights the potential of DMC as a viable solution for addressing the challenges posed by poor bone quality in patients with ochronotic arthropathy undergoing THA.
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