Management of Secondary Osteoarthritis with Proximal Femoral Deformity due to Previous Coxitis Hip – A case report
نویسندگان
چکیده
IntroductionMost proximal femoral deformities encountered during hip arthroplasty are secondary to degenerative processes, previous osteotomy, or fracture and could be a challenged for surgeons. Femoral deformity may angular, rotational, one of bone diameter length. Fully understanding the anatomy is first element in deciding how best treat Total Hip Arthroplasty (THA). Presentation CaseFemale 31 years old complaint pain on her left with restricted motion, leg length discrepancy (LLD) 2 cm history operation due infection when she was baby. THA performed carefully evaluating abductor muscle maintain stability. Postoperatively patient has an equal length, less hip, good ROM, able walk dependently using cane. Slight tightness adductor noted postoperatively undergone physiotherapy. DiscussionMultiple important factor must considered before considering patients deformity, including function, osseous anatomy, stability LLD. One careful correction LLD greater than 3 because possible effect strength, sciatic nerve function. In this case, we demonstrated that successful can achieved despite altered developmental changes. ConclusionIn setting sufficient strength bony stock amenable implant fixation, viable option management preoperative planning helps predict prosthesis requirements technical challenges. KeywordsOsteoarthritis, Proximal Deformities, Arthroplasty, Abductor Muscle
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ژورنال
عنوان ژورنال: The Hip and Knee Journal
سال: 2023
ISSN: ['2723-7826', '2723-7818']
DOI: https://doi.org/10.46355/hipknee.v4i1.109