TOTAL HIP ARTHROPLASTY IN OSTEOPETROSIS – REPORT OF A CASE

  • Zmago Krajnc Oddelek za ortopedijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Slavko Kramberger Oddelek za ortopedijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
Keywords: coxarthrosis, osteopetrosis, total hip endoprosthesis

Abstract

Background. Authors introduced a case of a 27-year men with osteopetrosis with hip arthrosis. He has an autosomal – dominant form of disease and he needed total hip arthroplasty. There are seven cases described in literature with developed hip arthrosis by osteopetrosis.

Methods. TEP implantation represents the greates surgical challenge in this patients, especially creation of intramedullary canal in femur and implantation of the femoral stem because of the very dense and brittle bones. This article describes the operative technique used in the case involved. It proved to be a very good solution.

Results. The patient was released from the hospital ten days after implantation of total hip endoprosthesis. Three months after the operation the patient started to walk without aid of canes, he had non pain, and his range of motion was almost normal.

Conclusions. Severe coxarthrosis is a rare complication of osteopetrosis. Great care must be taken with implantation of total hip endoprosthesis, especially with preparation of medular canal. It was recommended hand drilling under x-rays to exercise maximal control because reaming can cause false root of stem and greater probability of fracture.

Downloads

Download data is not yet available.

References

Shapiro F. Osteopetrosis. Current clinical considerations. Clin Orthop 1993; 294: 34–44.

Janecki CJ, Nelson CL. Osteoarthritis associated with osteopetrosis treated by total hip replacement arthroplasty. Report of a case. Cleve Clin Q 1971; 38: 169–77.

Ashby ME. Total hip arthroplasty in osteopetrosis. A report of two cases. Clin Orthop 1992; 276: 214–21.

Cameron HU, Dewar FP. Degenerative osteoarthritis associated with osteopetrosis. Clin Orthop 1977; 127: 148–9.

Matsuno T, Katayama N. Osteopetrosis and total hip arthroplasty. Report of two cases. Int Orthop 1997; 21: 409–11.

McKusick VA. Heritable disorders of connective tissue. 4th ed. Saint Louis: Mosby Co., 1972: 815–5.

How to Cite
1.
Krajnc Z, Kramberger S. TOTAL HIP ARTHROPLASTY IN OSTEOPETROSIS – REPORT OF A CASE. ZdravVestn [Internet]. 1 [cited 19Oct.2019];73(4). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/2305
Section
Professional Article