Total hip arthroplasty in a patient with a contralateral hemipelvectomy.
Hemipelvectomy is a rare procedure performed for tumor resection or trauma. The limb may be spared, and the patients often require extensive rehabilitation. We report the outcome of a total hip arthroplasty (THA) in a patient with endstage hip arthritis in a high dislocated hip contralateral to a remote, traumatic hemipelvectomy. To our knowledge this is the first reported case with mid-term follow-up of a patient undergoing THA for degenerative, traumatic hip dislocation with a contralateral external (limb-sacrificing) hemipelvectomy. Patient history, surgical details, and follow-up 5 years from the index arthroplasty are presented. This case report documents that THA after hemipelvectomy can be a durable procedure, and provide reliable pain relief and improvement in function at intermediate follow-up using good surgical techniques, and with the use of noncemented implants.
Goyal
Ravi
R
Department of Orthopedic Surgery, Royal Blackburn Hospital, Blackburn, United Kingdom.
Taunton
Michael J
MJ
Trousdale
Robert T
RT
D019644:Arthroplasty, Replacement, Hip; D006428:Hemipelvectomy; D006617:Hip Dislocation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged