Amundsen Spencer, Koenig Karl, Goodwin Douglas, Memoli Vincent
Departments of Orthopaedic Surgery (S.A. and K.K.), Radiology (D.G.), and Pathology (V.M.), Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
JBJS Case Connect. 2015 Mar 11;5(1):e19. doi: 10.2106/JBJS.CC.M.00096.
Paget disease of bone occurs in 3% to 4% of the population over fifty years of age, more often in men than in women. There is no known genetic basis for the disease, which is often diagnosed via incidental radiographic findings. We present a seventy-seven-year-old man with new-onset Paget disease after total hip arthroplasty, leading to loosening of the femoral stem and necessitating revision.
This case emphasizes the need for thoughtful evaluation of patients with failed arthroplasty and proposes steps for an appropriate workup prior to revision surgery.
骨佩吉特病发生于50岁以上人群的3%至4%，男性比女性更常见。该病尚无已知的遗传基础，常通过偶然的影像学检查发现而得以诊断。我们报告一例77岁男性，在全髋关节置换术后出现新发佩吉特病，导致股骨柄松动，需要翻修手术。
本病例强调了对关节置换失败患者进行全面评估的必要性，并提出了翻修手术前进行适当检查的步骤。
