Related Experiment Videos
Porous hip replacement in Paget's disease. An 8-2/3-year followup
P G Alexakis1, B A Brown, W M Hohl
1Department of Orthopaedics, UCLA School of Medicine, USA.
Clinical Orthopaedics and Related Research
|May 29, 1998
Summary
This study presents a successful hip replacement surgery for a patient with severe femur deformity and Paget's disease. The treatment provided excellent pain relief and functional recovery, even with ongoing bone changes.
Area of Science:
- Orthopedic Surgery
- Paget's Disease of Bone
- Hip Arthroplasty
Background:
- A 78-year-old active female presented with a painful, severe varus deformity of the femur and right hip arthritis.
- The hip condition was associated with monostotic Paget's disease of the bone.
Observation:
- The patient underwent multiple osteotomies followed by the implantation of a long-stemmed, cobalt-chrome, fully coated, porous ingrowth hip system.
- An 8-year and 8-month follow-up was conducted.
Findings:
- The patient experienced an excellent outcome with significant pain relief and restoration of function.
- Healing of osteotomies and clinical stability of the hip implant were achieved despite ongoing severe osteolytic changes associated with Paget's disease.
Implications:
- This case demonstrates the efficacy of surgical intervention, including osteotomies and cementless hip arthroplasty, in managing complex hip deformities and arthritis in the context of Paget's disease.
- The findings suggest that significant osteolytic changes from Paget's disease may not necessarily compromise the long-term success or stability of modern hip implant systems.