Resurfacing arthroplasty of the hip in osteopetrosis.
A 34-year-old woman with a benign form of osteopetrosis developed osteoarthritis of the hip. In order to avoid the difficulties associated with inserting the femoral component of a conventional total hip arthroplasty, a hybrid metal-on-metal resurfacing was performed. There were several technical challenges associated with the procedure, including the sizing of the component, press-fit fixation of the acetabular component and femoral head preparation, as well as trying to avoid a fracture. No surgical complication occurred. After more than a year following surgery, the patient showed excellent clinical function and remained satisfied with the outcome. We conclude that the hybrid metal-on-metal resurfacing arthroplasty represents a valuable option for the treatment of patients with osteopetrosis and secondary hip osteoarthritis.
Girard
J
J
Department of Orthopaedic Surgery, Maisonneuve-Rosemont Hospital, 5345 Boul L'Assomption, Suite 55, Montréal, Québec, Canada H1T 4B3.
Vendittoli
P-A
PA
Lavigne
M
M
Roy
A G
AG
D000077:Acetabulum / Q000601:surgery; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005270:Femur Head / Q000601:surgery; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D015207:Osteoarthritis, Hip / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D010022:Osteopetrosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D017060:Patient Satisfaction; D011859:Radiography; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology