Hip & pelvis

  • 제34권3호
  • /
  • Pages.172-176
  • /
  • 2022
  • /
  • 2287-3260(pISSN)
  • /
  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Total Hip Arthroplasty in the Severely Narrowed Femoral Canal by a Fibular Strut Using Knee Arthroscopic Tools: A Case Report and Technical Note

  • 투고 : 2022.04.01
  • 심사 : 2022.04.30
  • 발행 : 2022.09.30
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초록

A 58-year-old-male patient presented with worsening pain and restricted movements of his right hip after undergoing multiple procedures for treatment of an inter-trochanteric fracture. Secondary arthrosis and an incorporated intramedullary fibular cortical bone graft which caused severe narrowing of the medullary canal were observed by imaging. Total hip arthroplasty (THA) using knee arthroscopic tools was performed for preparation of the severely narrowed femoral canal. A satisfactory clinical outcome was achieved and stable components were observed on radiographs at the 11-year follow-up. The technique described here may be considered when attempting to perform a conversion THA for preparation of a severely narrowed femoral canal using a fibular strut in order to minimize morbidity and prevent structural destabilization.

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참고문헌

  1. Hanna SA, Dawson-Bowling S, Millington S, Bhumbra R, Achan P. Total hip arthroplasty in patients with Paget's disease of bone: a systematic review. World J Orthop. 2017;8:357-63. 
  2. Hernigou P, Housset V, Pariat J, Dubory A, Flouzat Lachaniette CH. Total hip arthroplasty for sickle cell osteonecrosis: guidelines for perioperative management. EFORT Open Rev. 2020;5:641-51. 
  3. Chun YM, Lee W. Operative treatment with intramedullary fibular strut allograft for osteoporotic proximal humerus fracture. Clin Shoulder Elbow. 2017;20:95-9. 
  4. Wright TW, Miller GJ, Vander Griend RA, Wheeler D, Dell PC. Reconstruction of the humerus with an intramedullary fibular graft. A clinical and biomechanical study. J Bone Joint Surg Br. 1993;75:804-7. 
  5. Yadav SS. The use of a free fibular strut as a "biological intramedullary nail" for the treatment of complex nonunion of long bones. JB JS Open Access. 2018;3:e0050. 
  6. Berend KR, Gunneson E, Urbaniak JR, Vail TP. Hip arthroplasty after failed free vascularized fibular grafting for osteonecrosis in young patients. J Arthroplasty. 2003;18:411-9. 
  7. Davis ET, McKee MD, Waddell JP, Hupel T, Schemitsch EH. Total hip arthroplasty following failure of free vascularized fibular graft. J Bone Joint Surg Am. 2006;88 Suppl 3:110-5. 
  8. Tanaka T, Hamada K, Oshima K, Joyama S, Naka N, Araki N. A new strategy to remove broken femoral mega-prostheses with hollow trephine reamers. Eur J Orthop Surg Traumatol. 2013;23:357-60. 
  9. Amanatullah DF, Siman H, Pallante GD, Haber DB, Sierra RJ, Trousdale RT. Revision total hip arthroplasty after removal of a fractured well-fixed extensively porous-coated femoral component using a trephine. Bone Joint J. 2015;97-B:1192-6. 
  10. Wagner M, Wagner H. The transfemoral approach for revision of total hip replacement. Orthop Traumatol. 1999;7:260-76.