双侧全髋关节置换术治疗纤维结构不良 1 例报告
Bilateral total hip arthroplasty in a case with fibrous dysplasia: a case report.
机构信息
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, End of Keshavarz Blvd, Tehran, Iran.
Surgical Research Society (SRS), Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Med Case Rep. 2023 Aug 30;17(1):371. doi: 10.1186/s13256-023-04084-9.
BACKGROUND
Fibrous dysplasia (FD) is a benign neoplasm with a broad spectrum of presentations. The treatment of FD in the hip region is controversial among orthopedic surgeons. Several treatment options exist, including curettage and grafting, valgus osteotomy, medial displacement osteotomy, and so on. Performing total hip arthroplasty (THA) on these patients and their subsequent outcome is still in infancy.
CASE PRESENTATION
The patient is a 32-year-old white female with bilateral proximal femur FD who underwent bilateral THA with long stem implants. A year following surgery, she had no complications and had satisfactory radiological, pain, and functional outcomes.
CONCLUSION
A bilateral THA with a long stem prosthesis showed promising results when performed following appropriate curettage of the proximal bone in an FD case. A cementless long stem could have enabled better diaphyseal fixation distal to the lesion site.
背景
纤维结构不良（FD）是一种良性肿瘤，具有广泛的表现形式。髋关节 FD 的治疗在骨科医生中存在争议。存在多种治疗选择，包括刮除和植骨、外翻截骨术、内侧移位截骨术等。对这些患者进行全髋关节置换术（THA）及其后续结果仍处于起步阶段。
病例介绍
患者为 32 岁白人女性，双侧股骨近端 FD，行双侧 THA 及长柄假体植入术。术后 1 年，患者无并发症，影像学、疼痛和功能结果均满意。
结论
在 FD 病例中，对近端骨进行适当刮除后，行双侧 THA 及长柄假体显示出良好的结果。非骨水泥长柄可能能够更好地固定病变部位以下的骨干。
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