Hip joint osteochondroma treated with short stem total hip arthroplasty: a case report: Hip osteochondroma excision and replacement

Hip joint osteochondroma treated with short stem total hip arthroplasty: a case report

Hip osteochondroma excision and replacement

Authors

  • Francesco Calafiore University of L'Aquila
  • Andrea Fidanza University of L'Aquila https://orcid.org/0000-0001-7766-0806
  • Michele Venosa RomaPro Center for Hip and Knee Arthroplasty
  • Riccardo Fabiani University of L'Aquila
  • Giandomenico Logroscino University of L'Aquila

Keywords:

bone tumor; high demand patient; THA; hip replacement; secondary arthritis

Abstract

The purpose of this report is to present the clinical and radiological findings of a young patient affected by proximal femoral and acetabular osteochondroma. This benign primary tumor of the long bones occurs in childhood and is localized in the proximal femur only with low incidence. As far as we know, there are only 30 other cases in the literature of an osteochondroma involving the entire hip joint. Out of these 30, only 17 patients were treated with lesion excision and joint replacement. However this is the first patient treated with a short stem total hip replacement. The innovative short stems allow the bone saving of the proximal femur, a necessary condition to have a good bone stock in the event of a future prosthetic revision in a highly demanding young patient. Preoperative planning and specific rehabilitation are mandatory to achieve good outcomes

Author Biography

Andrea Fidanza, University of L'Aquila

MD, PhD

References

Khurana J, Abdul-Karim F, Bovée JVMG, Fletcher CDM, Unni KK, Mertens F. World Health Organization Cancer Classification. Pathology and genetics of soft tissue and bone tumors. Lyon, France: IARC; 2002 pp. 234–236

Gaumer GR, Weinberg DS, Collier CD, Getty PJ, Liu RW. An Osteological Study on the Prevalence of Osteochondromas. Iowa Orthop J. 2017;37:147-150

Makhdom AM, Jiang F, Hamdy RC, Benaroch TE, Lavigne M, Saran N. Hip joint osteochondroma: systematic review of the literature and report of three further cases. Adv Orthop. 2014;2014:180254.

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

Yoon JY, Park CW, Park YS, Yoo JJ, Kim HJ. Total Hip Arthroplasty for Secondary Coxarthrosis in Patients with Hereditary Multiple Exostoses: Minimum 5-Year Follow-up Results and Surgical Considerations. Clin Orthop Surg. 2020;12(4):435-441. doi:10.4055/cios20044

Santoso A, Utomo P, Im CJ, Park KS, Yoon TR. Minimally Invasive Total Hip Arthroplasty in a Patient with Hereditary Multiple Exostoses: A Case Report. Malays Orthop J. 2018 Nov;12(3):53-56. doi: 10.5704/MOJ.1811.010

Annapureddy SR, Chapman TW, Charnley GJ. Dual aetiology hip pain requiring total hip arthroplasty in hereditary multiple exostoses: A case report and review of the literature. Hip Int. 2002;12(4):397-399. doi:10.1177/112070000201200409

Kanda A, Kaneko K, Obayashi O, Mogami A. Total Hip Arthroplasty Using a Polished Tapered Cemented Stem in Hereditary Multiple Exostosis. Case Rep Orthop. 2016;2016:4279060. doi:10.1155/2016/4279060

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):279-282. doi:10.1177/112070000901900316

Vaishya R, Swami S, Vijay V, Vaish A. Bilateral total hip arthroplasty in a young man with hereditary multiple exostoses. BMJ Case Rep. 2015 Jan 5;2015:bcr2014207853. doi: 10.1136/bcr-2014-207853

Tönnis D. Congenital dysplasia and dislocation of the hip in children and adults. Berlin: Springer; 1987

Logroscino G, Donati F, Campana V, Saracco M. Stemless hip arthroplasty versus traditional implants: a comparative observational study at 30 months follow-up. Hip Int. 2018;28(2_suppl):21-27. doi:10.1177/1120700018813209

Goderecci R, Fidanza A, Necozione S, Francione V, Indelli PF, Calvisi V. Ultrasound-based decision making following metal-on-metal hip arthroplasty. J Clin Orthop Trauma. 2020;11(1):79-84. doi:10.1016/j.jcot.2019.04.009

Moreno-Romero M, Ordas-Bayon A, Gomez-Rice A, Ortega MA, De La Torre Escuredo BJ. Partial Two-Stage Exchange for Infected Total Hip Arthroplasty: A Treatment to Take into Account. J Pers Med. 2023;13(1):137. Published 2023 Jan 10. doi:10.3390/jpm13010137

Medici A, Di Salvatore MG, Pezzella R, et al. Bilateral fractures of acetabulum in a young girl with osteogenesis imperfecta and epilepsy. Trauma Case Rep. 2019;25:100265. doi:10.1016/j.tcr.2019.100265

Saracco M, Fidanza A, Necozione S, et al. Could Short Stems THA Be a Good Bone-Saving Option Even in Obese Patients? Journal of Clinical Medicine. 2022; 11(23):7114. https://doi.org/10.3390/jcm11237114

Pellicci PM, Bostrom M, Poss R. Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res. 1998;(355):224-228. doi:10.1097/00003086-199810000-00023

Fidanza A, Perinetti T, Logroscino G, Saracco M. 3D Printing Applications in Orthopaedic Surgery: Clinical Experience and Opportunities. Appl. Sci. 2022;12(7):3245. doi: 10.3390/app12073245

Liang HD, Yang WY, Pan JK, et al. Are short-stem prostheses superior to conventional stem prostheses in primary total hip arthroplasty? A systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2018;8(9):e021649. Published 2018 Sep 21. doi:10.1136/bmjopen-2018-021649

Albanese CV, Rendine M, De Palma F, et al. (2006) Bone Archives of Orthopaedic and Trauma Surgery 1 3 remodelling in THA: a comparative DXA scan study between conventional implants and a new stemless femoral component. A preliminary report. Hip Int 16:9–15. doi: 10.5301/hip. 2009.4849

Logroscino G, Ciriello V, D'Antonio E, et al. Bone integration of new stemless hip implants (proxima vs. nanos). A DXA study: preliminary results. Int J Immunopathol Pharmacol. 2011;24(1 Suppl 2):113-116. doi:10.1177/03946320110241S221

Meschini C, Cauteruccio M, Oliva MS, et al. Hip and knee replacement in patients with ochronosis: Clinical experience and literature review. Orthop Rev (Pavia). 2020 Jun 26;12(Suppl 1):8687. doi: 10.4081/or.2020.8687

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Published

24-07-2023

How to Cite

1.
Hip joint osteochondroma treated with short stem total hip arthroplasty: a case report: Hip osteochondroma excision and replacement. Acta Biomed [Internet]. 2023 Jul. 24 [cited 2024 Jun. 22];94(S1):e2023188. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/14671