Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies
This case report provides a history of a female patient with achondroplasia who underwent bilateral total hip arthroplasty (THA) using short femoral stem. On preoperative radiography, a severe bilateral hip osteoarthritis was noted, with deformity of the femoral metaphyses. After THA, the gait patte...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S235234412500041X |
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| author | Danilo Jeremic, MD, PhD Jelena Nesovic Ostojic, MD, PhD Branislav Krivokapic, MD, PhD Zoran Bascarevic, MD, PhD Nikola Zarkovic, MD Nemanja Slavkovic, MD, PhD |
| author_facet | Danilo Jeremic, MD, PhD Jelena Nesovic Ostojic, MD, PhD Branislav Krivokapic, MD, PhD Zoran Bascarevic, MD, PhD Nikola Zarkovic, MD Nemanja Slavkovic, MD, PhD |
| author_sort | Danilo Jeremic, MD, PhD |
| collection | DOAJ |
| description | This case report provides a history of a female patient with achondroplasia who underwent bilateral total hip arthroplasty (THA) using short femoral stem. On preoperative radiography, a severe bilateral hip osteoarthritis was noted, with deformity of the femoral metaphyses. After THA, the gait pattern improved significantly, the range of motion of both hips increased, and limb length discrepancy was corrected. There was also an improvement in Harris Hip Score value from 65 to 87. In patients with achondroplasia who develop end-stage hip osteoarthritis, there is a unique challenge for arthroplasty surgeons, including implant design, sizing, positioning, and soft-tissue balancing. We believe that the use of short femoral stems might represent an acceptable surgical strategy in the setting of complex changes in femoral anatomy. |
| format | Article |
| id | doaj-art-be264f41550845fb825eb82e6b8a48d1 |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-be264f41550845fb825eb82e6b8a48d12025-08-20T01:55:11ZengElsevierArthroplasty Today2352-34412025-04-013210165410.1016/j.artd.2025.101654Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical StrategiesDanilo Jeremic, MD, PhD0Jelena Nesovic Ostojic, MD, PhD1Branislav Krivokapic, MD, PhD2Zoran Bascarevic, MD, PhD3Nikola Zarkovic, MD4Nemanja Slavkovic, MD, PhD5Institute for Orthopedics Banjica, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, SerbiaFaculty of Medicine, University of Belgrade, Belgrade, Serbia; Institute of Pathological Physiology, Faculty of Medicine, University of Belgrade, Belgrade, SerbiaInstitute for Orthopedics Banjica, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, SerbiaInstitute for Orthopedics Banjica, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, SerbiaInstitute for Orthopedics Banjica, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Corresponding author. Faculty of Medicine, University of Belgrade, Generala Ljubomira Milica 10/6, Belgrade, Serbia 11000. Tel.: +38 160 508 1998.Institute for Orthopedics Banjica, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, SerbiaThis case report provides a history of a female patient with achondroplasia who underwent bilateral total hip arthroplasty (THA) using short femoral stem. On preoperative radiography, a severe bilateral hip osteoarthritis was noted, with deformity of the femoral metaphyses. After THA, the gait pattern improved significantly, the range of motion of both hips increased, and limb length discrepancy was corrected. There was also an improvement in Harris Hip Score value from 65 to 87. In patients with achondroplasia who develop end-stage hip osteoarthritis, there is a unique challenge for arthroplasty surgeons, including implant design, sizing, positioning, and soft-tissue balancing. We believe that the use of short femoral stems might represent an acceptable surgical strategy in the setting of complex changes in femoral anatomy.http://www.sciencedirect.com/science/article/pii/S235234412500041XArthroplastyHipAchondroplasiaShort stem |
| spellingShingle | Danilo Jeremic, MD, PhD Jelena Nesovic Ostojic, MD, PhD Branislav Krivokapic, MD, PhD Zoran Bascarevic, MD, PhD Nikola Zarkovic, MD Nemanja Slavkovic, MD, PhD Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies Arthroplasty Today Arthroplasty Hip Achondroplasia Short stem |
| title | Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies |
| title_full | Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies |
| title_fullStr | Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies |
| title_full_unstemmed | Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies |
| title_short | Bilateral Total Hip Arthroplasty in a Patient With Achondroplasia: Challenges and Surgical Strategies |
| title_sort | bilateral total hip arthroplasty in a patient with achondroplasia challenges and surgical strategies |
| topic | Arthroplasty Hip Achondroplasia Short stem |
| url | http://www.sciencedirect.com/science/article/pii/S235234412500041X |
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