Arthroplasty using a custom-made cemented total hip prosthesis for an extensive giant cell tumor of the proximal femur: report of a patient followed up for over 30 years.
We report the case of a 26-year-old man who had a pathologic transtrochanteric fracture of the left femur due to a grade II giant cell tumor affecting the neck and the trochanteric area. This patient underwent complete resection of the tumor and arthroplasty using a custom-made cemented total hip prosthesis. The good radiologic and functional results of the surgery have been maintained for over 30 years without local recurrence or lung metastasis. Moreover, new bone formation was observed at the reattachment sites of abductors, iliopsoas tendons and vastus lateralis to the femoral component of the prosthesis although local bone resorption was detected at the upper lateral part of the femoral stem and zone I of the cup side.
Nakano
Shunji
S
Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, 770-8503, Japan.
Enishi
Tetsuya
T
Hasan
Mohamed Yehya
MY
Hanaoka
Naoyoshi
N
Kawasaki
Yoshiteru
Y
Egawa
Hiroshi
H
Kinoshita
Isamu
I
Yasui
Natsuo
N
D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001859:Bone Neoplasms / Q000150:complications / Q000601:surgery*; D001862:Bone Resorption; D002484:Cementation / Q000379:methods; D005265:Femoral Neck Fractures / Q000209:etiology / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D018212:Giant Cell Tumor of Bone / Q000150:complications / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D010012:Osteogenesis; D011474:Prosthesis Design / Q000379:methods; D011859:Radiography; D016896:Treatment Outcome