Successful total hip arthroplasty for patient with TCIRG1-associated autosomal recessive osteopetrosis

Dinh, Hieu Nguyen; Luong, Long Hoang; Trung, Tuyen Nguyen; Minh, Tam Mai Thi; Tran, Tien Dang; Nguyên, Thị Kim Ngân

doi:10.1016/j.ijscr.2022.107262

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2024

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“…Cementless or cemented fixation of femoral and acetabular components is controversial 14 . In most of the reported cases, a cemented femoral stem has been used, mostly due to difficulty in femoral preparation with broaches and fear of periprosthetic femoral fracture 15 .…”

Section: Discussionmentioning

confidence: 99%

Conversion Total Hip Arthroplasty in Patients With Osteopetrosis

Poursalehian,

Bahmani,

Ghorbanzadeh

et al. 2024

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Case: Two patients with osteopetrosis underwent conversion total hip arthroplasty (THA) after failure of internal fixation due to hip fractures. We experienced challenges, including difficulty of hardware removal, remaining of previous broken screws in the canal, difficulty in finding the femoral canal, and an intraoperative acetabulum fracture. Despite complications, both patients achieved satisfactory functional outcome after surgery at the latest follow-up. Conclusion: Our cases showed that previous hip fracture and failed internal fixation make conversion THA more complex and unpredictable in patients with osteopetrosis. This in turn underscores the critical need for advanced preoperative planning, intraoperative flexibility, and meticulous postoperative care.

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Section: Discussionmentioning

confidence: 99%