Abstract | BACKGROUND: CASE PRESENTATION: A 62-year-old Japanese woman was diagnosed with bilateral acetabular dysplasia at the age of 50 years, and underwent right and left periacetabular osteotomy at the ages of 52 and 55 years, respectively. When she was 61-years old, she experienced repeated episodes of left coxalgia during walking, with increasing pain at rest, and subsequently visited our department. Plain radiography and computed tomography of her left hip joint confirmed pseudoarthrosis of the periacetabular osteotomy segment. In addition, narrowing of her left hip joint space was observed, which indicated advanced osteoarthritis of the hip. Therefore, she underwent left total hip arthroplasty when she was 62-years old. During the surgery, fibrous fusion of the periacetabular osteotomy segment was confirmed via fluoroscopy, although no abnormal mobility was observed. Thus, the osteotomy segment was fixed with one absorbable screw and two bone pegs (which were prepared using allogeneic bone), and the acetabular cup was fixed using cement. Her postoperative course was generally favorable and bone fusion of the periacetabular osteotomy segment was confirmed at 3 years and 6 months after surgery. Her modified Harris hip score was 43 before the surgery and had improved to 90 at the final follow-up. CONCLUSIONS:
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Authors | Arihiko Kanaji, Toru Nishiwaki, Akihito Oya, Kazuyuki Maehara, Hideki Maehara, Teruyo Oishi, Harumoto Yamada, Yasunori Suda, Masaya Nakamura, Morio Matsumoto |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 10
Issue 1
Pg. 112
(May 06 2016)
ISSN: 1752-1947 [Electronic] England |
PMID | 27150356
(Publication Type: Case Reports, Journal Article)
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Topics |
- Arthroplasty, Replacement, Hip
- Female
- Hip Dislocation, Congenital
(surgery)
- Humans
- Ilium
(surgery)
- Magnetic Resonance Imaging
- Middle Aged
- Organ Sparing Treatments
- Osteoarthritis, Hip
(diagnostic imaging, surgery)
- Osteotomy
- Pseudarthrosis
(diagnostic imaging, surgery)
- Radiography
- Reoperation
- Tomography, X-Ray Computed
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