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Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing

In this report, we present a case of a 57-year-old man complaining of pain in both his hips. Clinically, the patient reported lameness and reduction in the range of motion of the hips. Radiographic imaging showed a very narrow medullary femoral canal, confirmed by a computed tomography scan. In cons...

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Autores principales: D'Ambrosi, Riccardo, Ballini, Luca, Valli, Federico, Guarino, Stefano, Rubino, Maurizio, Ursino, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253607/
https://www.ncbi.nlm.nih.gov/pubmed/34235390
http://dx.doi.org/10.1055/s-0041-1730381
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author D'Ambrosi, Riccardo
Ballini, Luca
Valli, Federico
Guarino, Stefano
Rubino, Maurizio
Ursino, Nicola
author_facet D'Ambrosi, Riccardo
Ballini, Luca
Valli, Federico
Guarino, Stefano
Rubino, Maurizio
Ursino, Nicola
author_sort D'Ambrosi, Riccardo
collection PubMed
description In this report, we present a case of a 57-year-old man complaining of pain in both his hips. Clinically, the patient reported lameness and reduction in the range of motion of 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.
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spelling pubmed-82536072021-07-06 Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing D'Ambrosi, Riccardo Ballini, Luca Valli, Federico Guarino, Stefano Rubino, Maurizio Ursino, Nicola Joints In this report, we present a case of a 57-year-old man complaining of pain in both his hips. Clinically, the patient reported lameness and reduction in the range of motion of 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. Georg Thieme Verlag KG 2021-06-14 /pmc/articles/PMC8253607/ /pubmed/34235390 http://dx.doi.org/10.1055/s-0041-1730381 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle D'Ambrosi, Riccardo
Ballini, Luca
Valli, Federico
Guarino, Stefano
Rubino, Maurizio
Ursino, Nicola
Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title_full Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title_fullStr Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title_full_unstemmed Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title_short Bilateral Cemented Custom-Made Total Hip Arthroplasty in Paget's Disease with Femoral Cortical Thickening and Canal Narrowing
title_sort bilateral cemented custom-made total hip arthroplasty in paget's disease with femoral cortical thickening and canal narrowing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253607/
https://www.ncbi.nlm.nih.gov/pubmed/34235390
http://dx.doi.org/10.1055/s-0041-1730381
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