Daniel Canoville, Matthieu Hannebicque, Goulven Rochcongar, Jocelyn Michon, Valérie Dumaine, Christophe Hulet
CHU de Caen, 14000 Caen, France.
Hôpital Cochin, APHP, 75014 Paris, France.
Case Rep Orthop. 2017;2017:9495783. doi: 10.1155/2017/9495783. Epub 2017 Oct 9.
Hydatidosis of the bone is a rare occurrence (0.9 to 2.5% of all localization of the disease). In those occurrences, the pelvic bone is the second most frequent localization. Curative treatment of pelvic bone hydatidosis is difficult and a consensus is yet to be found.
We report a case of hydatidosis of the ischium, extended to the homolateral hip. The patient was treated through hip resection using patient-specific cutting guides, followed by total hip reconstruction. Albendazole was administered to the patient for two months before the surgery and for three months following the surgery.
In a young patient, hydatidosis of the pelvic bone can be treated with satisfying results through wide resection of the hip coupled with an antiparasitic treatment administered before and after the surgery. Prosthetic reconstruction, similar to what is done in cancer surgery, restores good functions.
骨包虫病较为罕见（占该疾病所有发病部位的0.9%至2.5%）。在这些病例中，骨盆是第二常见的发病部位。骨盆骨包虫病的根治性治疗困难，尚未达成共识。
我们报告一例坐骨包虫病，病变扩展至同侧髋关节。患者通过使用定制切割导板进行髋关节切除术治疗，随后进行全髋关节重建。患者在手术前服用阿苯达唑两个月，手术后服用三个月。
对于年轻患者，骨盆骨包虫病可通过广泛切除髋关节并结合手术前后的抗寄生虫治疗取得满意疗效。类似于癌症手术的假体重建可恢复良好功能。
