Hemiarthroplasty in a patient with severe systemic sclerosis.
Systemic sclerosis (scleroderma) is a connective tissue disorder of unknown etiology. This rare, chronic, multisystem disorder encompasses a number of variations leading to focal and systemic classifications, which includes features such as skin thickening. The changes within the skin microstructure have led to numerous surgical complications. In a review of the orthopedic literature, we found no reports describing surgical outcomes or the success of skin closures in procedures related to the hip for patients with scleroderma. We present a case of a 74-year-old man with a history of scleroderma who underwent a bipolar hemiarthroplasty to repair a right transcervical femoral neck fracture. The risk factors associated with wound healing and effects of skin contractures in systemic sclerosis patients are reviewed.
Department of Orthopaedic Surgery, Drexel University College of Medicine, Philadelphia, PA 19102, USA.
Nirav H
NH
Amin
Geoffrey
G
DeLaurier
Craig
C
O'Neill
Douglas
D
Cerynik
Norman
N
Johanson
D000058:Accidental Falls; D000368:Aged; D001178:Arthroplasty / Q000379:methods*; D005265:Femoral Neck Fractures / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D009985:Orthopedics / Q000379:methods; D012595:Scleroderma, Systemic / Q000601:surgery* / Q000628:therapy; D012867:Skin / Q000473:pathology; D016896:Treatment Outcome; D014945:Wound Healing
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