Bilateral Total Hip Arthroplasty in a Case With Fibrous Dysplasia: A Case Report Publisher Pubmed



Moharrami A¹ ; Mirghaderi P^{1, 2} ; Moazenjamshidi MM¹ ; Hoseini Zare N¹ ; Sharifpour S¹ ; Mortazavi SMJ¹ Show Affiliations
Source: Journal of Medical Case Reports Published:2023

Abstract

Background: Fibrous dysplasia (FD) is a benign neoplasm with a broad spectrum of presentations. The treatment of FD in the hip region is controversial among orthopedic surgeons. Several treatment options exist, including curettage and grafting, valgus osteotomy, medial displacement osteotomy, and so on. Performing total hip arthroplasty (THA) on these patients and their subsequent outcome is still in infancy. Case presentation: The patient is a 32-year-old white female with bilateral proximal femur FD who underwent bilateral THA with long stem implants. A year following surgery, she had no complications and had satisfactory radiological, pain, and functional outcomes. Conclusion: A bilateral THA with a long stem prosthesis showed promising results when performed following appropriate curettage of the proximal bone in an FD case. A cementless long stem could have enabled better diaphyseal fixation distal to the lesion site. © 2023, BioMed Central Ltd., part of Springer Nature.