A case of Paget's disease in an ultracentenarian subject with endoprosthesis of Moore type without cementation.
Paget's disease is an osteopathy the incidence of which increases with aging; in the 8th decade, it occurs in 11% of the population. Complications of this pathology often occur, and appear prevalently in form of basilar disease. We report a case of an ultracentenarian patient (aged 107) who suffered a cervical right femur fracture after falling in her own house at the age of 104 years. Radiological and laboratory findings revealed a mono-osseal Paget's disease of the right femur. Because of her good conditions, the patient underwent an operation of non-cemented endoprosthesis of Moore type, with a good post-operatory course and a physiokinetic therapeutic treatment. A kinesiologic evaluation was made, by measuring articular range of motion (ROM) through the neutral zero methods and evaluating the muscular strength: it showed a constantly progressive functional recovery of the lower limbs in both subjective and objective terms.
Iorio
C
C
University of Reggio Calabria, Department of Clinical and Experimental Medicine, Policlinico Materdomini, Via T. Campanella, l-88100 Catanzaro, Italy.
Iorio
R
R
Curti
A
A
Gareri
P
P
Spadafora
F L
FL
Mattace-Raso
F
F
Teti
R
R
Pansini
L
L
Mattace
R
R