Cleveland Clinic Adult Reconstruction Research (CCARR), Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.
JBJS Case Connect. 2024 Jun 13;14(2). doi: e23.00559. eCollection 2024 Apr 1.
A 70-year-old man with a year-long history of arthritic pain in his left hip presented to our clinic. He had a left intertrochanteric hip fracture 6 years ago, fixed with an open reduction internal fixation with a cephalomedullary nail. He underwent a conversion Birmingham Hip Resurfacing (BHR) with removal of the proximal helicoidal blade and retention of the intramedullary nail. At 7-year follow-up, the patient reported satisfactory clinical outcomes and excellent radiographic fixation.
This case highlights using conversion BHR in patients with post-traumatic arthritis with retained femoral hardware as an alternative to conventional total hip arthroplasty.
一位 70 岁男性,左髋关节炎疼痛已有一年,来我院就诊。他在 6 年前因左股骨转子间骨折接受了切开复位内固定治疗,使用了股骨近端髓内钉。他随后接受了 Birmingham Hip Resurfacing(BHR)翻修术,近端螺旋刀片被取出,髓内钉保留。在 7 年的随访中,患者报告了满意的临床结果和优秀的影像学固定。
该病例强调了在有保留股骨内固定的创伤后关节炎患者中使用转换型 Birmingham Hip Resurfacing(BHR)作为传统全髋关节置换术的替代方案。