Total Hip Arthroplasty with Revision Stem in Hereditary Multiple Exostoses with Secondary Osteoarthritis

Main Article Content

Maximiliano E. Negri
María Belén López Villagra
Guillermo José Allende

Abstract

We present a 42-year-old woman with a history of hereditary multiple exostoses (HME), with pain and limited range of motion of the left hip. Radiographic studies showed osteoarthritis added to femoral exostosis with bilateral hip dysplasia and femoral head subluxation. Total left hip replacement was performed using a modular uncemented implant with excellent postoperative results at 7 years of follow-up.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Negri, M. E., López Villagra, M. B., & Allende, G. J. (2023). Total Hip Arthroplasty with Revision Stem in Hereditary Multiple Exostoses with Secondary Osteoarthritis. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(5), 566-572. https://doi.org/10.15417/issn.1852-7434.2023.88.5.1628
Section
Case Presentations
Author Biographies

Maximiliano E. Negri, Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina

Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina

María Belén López Villagra, Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina.

Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina.

Guillermo José Allende, Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina

Department of Hip and Knee Joint Reconstructive Surgery, Sanatorio Allende, Córdoba, Argentina

References

1. Stieber JR, Dormans JP. Manifestations of hereditary multiple exostoses. J Am Acad Orthop Surg 2005;13(2):110-20. https://doi.org/10.5435/00124635-200503000-00004

2. Peterson HA. Multiple hereditary osteochondromata. Clin Orthop Relat Res 1989;(239):222-30. PMID: 2783565

3. Porter DE, Simpson AHRW. The neoplastic pathogenesis of solitary and multiple osteochondromas. J Pathol
1999;188(2):119-25. https://doi.org/10.1002/(SICI)1096-9896(199906)188:2<119::AID-PATH321>3.0.CO;2-N

4. Shapiro F, Simon S, Glimcher MJ. Hereditary multiple exostosis. Anthropometric, roentgenographic, and clinical
aspects. J Bone Joint Surg Am 1979;61(6):815-24. PMID: 225330

5. Makhdom AM, Jiang F, Hamdy RC. Hip joint osteochondroma: systematic review of the literature and report of
three further cases. Adv Orthop 2014;2014:180254. https://doi.org/10.1155/2014/180254

6. Moran M, Krieg AH, Boyle RA, Stalley PD. Bilateral total hip arthroplasty in severe hereditary multiple exostosis: a report of two cases. Hip Int 2009;19(3):279-82. https://doi.org/10.1177/112070000901900316

7. Vaishya R, Swami S, Vijay V, Vaish A. Bilateral total hip arthroplasty in a young man with hereditary multiple
exostoses. BMJ Case Rep 2015;2015:bcr2014207853. https://doi.org/10.1136/bcr-2014-207853

8. Kim WJ, Park JS, Won SH, Lee HS, Lee DW, et al. Total hip arthroplasty in hereditary multiple exostoses with
secondary osteoarthritis: A case report. Medicine (Baltimore) 2019;98(48):e18175. https://doi.org/10.1097/MD.0000000000018175

9. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end‐result study using a new method of result evaluation. J Bone Joint Surg Am 1969;51:737-55.
PMID: 5783851