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Published in: Journal of Medical Case Reports 1/2023

Open Access 01-12-2023 | Case report

Bilateral total hip arthroplasty in a case with fibrous dysplasia: a case report

Authors: Alireza Moharrami, Peyman Mirghaderi, Mir Mansour Moazen-Jamshidi, Nima Hoseini Zare, Sadula Sharifpour, S. M. Javad Mortazavi

Published in: Journal of Medical Case Reports | Issue 1/2023

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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.
Literature
2.
go back to reference Guille JT, Kumar SJ, MacEwen GD. Fibrous dysplasia of the proximal part of the femur. Long-term results of curettage and bone-grafting and mechanical realignment. JBJS. 1998;80(5):648–58.CrossRef Guille JT, Kumar SJ, MacEwen GD. Fibrous dysplasia of the proximal part of the femur. Long-term results of curettage and bone-grafting and mechanical realignment. JBJS. 1998;80(5):648–58.CrossRef
3.
go back to reference Kushare IV, Colo D, Bakhshi H, Dormans JP. Fibrous dysplasia of the proximal femur: surgical management options and outcomes. J Child Orthop. 2014;8(6):505–11.CrossRefPubMedPubMedCentral Kushare IV, Colo D, Bakhshi H, Dormans JP. Fibrous dysplasia of the proximal femur: surgical management options and outcomes. J Child Orthop. 2014;8(6):505–11.CrossRefPubMedPubMedCentral
4.
go back to reference Moharrami A, Mirghaderi SP, Hoseini-Zare N, Kaseb MH, Moazen-Jamshidi SMM, Mansour AK, et al. Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study. Int Orthop. 2022;46:2765.CrossRefPubMed Moharrami A, Mirghaderi SP, Hoseini-Zare N, Kaseb MH, Moazen-Jamshidi SMM, Mansour AK, et al. Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study. Int Orthop. 2022;46:2765.CrossRefPubMed
5.
go back to reference Moharrami A, Mirghaderi SP, Marzban S, Moazen-Jamshidi SMM, Shakoor D, Mortazavi SMJ. Total Hip Arthroplasty via direct anterior approach for osteonecrosis; comparison with primary hip osteoarthritis in a mid term follow up. J Clin Orthop Trauma. 2022;34: 102042.CrossRefPubMedPubMedCentral Moharrami A, Mirghaderi SP, Marzban S, Moazen-Jamshidi SMM, Shakoor D, Mortazavi SMJ. Total Hip Arthroplasty via direct anterior approach for osteonecrosis; comparison with primary hip osteoarthritis in a mid term follow up. J Clin Orthop Trauma. 2022;34: 102042.CrossRefPubMedPubMedCentral
6.
go back to reference Soleimani M, Barkhordari S, Mardam F, Shaarbafchizadeh N, Naghavi-Al-Hosseini F. Rationing access to total hip and total knee replacement in the Islamic Republic of Iran to reduce unnecessary costs: policy brief. East Mediterr Health J. 2020;26(11):1396–402.CrossRefPubMed Soleimani M, Barkhordari S, Mardam F, Shaarbafchizadeh N, Naghavi-Al-Hosseini F. Rationing access to total hip and total knee replacement in the Islamic Republic of Iran to reduce unnecessary costs: policy brief. East Mediterr Health J. 2020;26(11):1396–402.CrossRefPubMed
7.
go back to reference Sierra RJ, Cabanela ME. Total hip arthroplasty in patients with underlying fibrous dysplasia. Orthopedics. 2009;32(5). Sierra RJ, Cabanela ME. Total hip arthroplasty in patients with underlying fibrous dysplasia. Orthopedics. 2009;32(5).
8.
go back to reference Vaishya R, Singh AP, Singh AP. Total hip replacement of recurrent monostotic fibrous dysplasia of proximal hip. J Clin Orthop Trauma. 2010;1(2):107–9.CrossRef Vaishya R, Singh AP, Singh AP. Total hip replacement of recurrent monostotic fibrous dysplasia of proximal hip. J Clin Orthop Trauma. 2010;1(2):107–9.CrossRef
9.
go back to reference Sheth NP, Nelson CL, Springer BD, Fehring TK, Paprosky WG. Acetabular bone loss in revision total hip arthroplasty: evaluation and management. JAAOS-J Am Acad Orthop Surg. 2013;21(3):128–39.CrossRef Sheth NP, Nelson CL, Springer BD, Fehring TK, Paprosky WG. Acetabular bone loss in revision total hip arthroplasty: evaluation and management. JAAOS-J Am Acad Orthop Surg. 2013;21(3):128–39.CrossRef
10.
go back to reference Mirghaderi SP, Sharifpour S, Moharrami A, Ahmadi N, Makuku R, Salimi M, et al. Determining the accuracy of preoperative total hip replacement 2D templating using the mediCAD® software. J Orthop Surg Res. 2022;17(1):222.CrossRefPubMedPubMedCentral Mirghaderi SP, Sharifpour S, Moharrami A, Ahmadi N, Makuku R, Salimi M, et al. Determining the accuracy of preoperative total hip replacement 2D templating using the mediCAD® software. J Orthop Surg Res. 2022;17(1):222.CrossRefPubMedPubMedCentral
11.
go back to reference Ramezani A, Ghaseminejad Raeini A, Sharafi A, Sheikhvatan M, Mortazavi SMJ, Shafiei SH. Simultaneous versus staged bilateral total hip arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):392.CrossRefPubMedPubMedCentral Ramezani A, Ghaseminejad Raeini A, Sharafi A, Sheikhvatan M, Mortazavi SMJ, Shafiei SH. Simultaneous versus staged bilateral total hip arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):392.CrossRefPubMedPubMedCentral
12.
go back to reference Sierra RJ, Cabanela ME. Total hip arthroplasty in patients with underlying fibrous dysplasia. Orthopedics. 2009;32(5):320.PubMed Sierra RJ, Cabanela ME. Total hip arthroplasty in patients with underlying fibrous dysplasia. Orthopedics. 2009;32(5):320.PubMed
13.
go back to reference Ippolito E, Bray EW, Corsi A, De Maio F, Exner UG, Robey PG, et al. Natural history and treatment of fibrous dysplasia of bone: a multicenter clinicopathologic study promoted by the European Pediatric Orthopaedic Society. J Pediatric Orthop B. 2003;12(3):155–77. Ippolito E, Bray EW, Corsi A, De Maio F, Exner UG, Robey PG, et al. Natural history and treatment of fibrous dysplasia of bone: a multicenter clinicopathologic study promoted by the European Pediatric Orthopaedic Society. J Pediatric Orthop B. 2003;12(3):155–77.
14.
go back to reference Stephenson R, London M, Hankin F, Kaufer H. Fibrous dysplasia. An analysis of options for treatment. J Bone Joint Surg Am. 1987;69(3):400–9.CrossRefPubMed Stephenson R, London M, Hankin F, Kaufer H. Fibrous dysplasia. An analysis of options for treatment. J Bone Joint Surg Am. 1987;69(3):400–9.CrossRefPubMed
15.
go back to reference Garceau S, Warschawski Y, Safir O, Gross A, Wolfstadt J, Kuzyk P. Total hip arthroplasty in patients with fibrous dysplasia: a modern update. Can J Surg. 2020;63(3):E202–7.CrossRefPubMedPubMedCentral Garceau S, Warschawski Y, Safir O, Gross A, Wolfstadt J, Kuzyk P. Total hip arthroplasty in patients with fibrous dysplasia: a modern update. Can J Surg. 2020;63(3):E202–7.CrossRefPubMedPubMedCentral
16.
go back to reference Yao K, Min L, Tang F, Lu M, Zhang Y, Wang J, et al. First application of three-dimensional designing total hip arthroplasty with long uncemented stem for fibrous dysplasia patients combined with hip joint osteoarthritis. BMC Musculoskelet Disord. 2019;20(1):222.CrossRefPubMedPubMedCentral Yao K, Min L, Tang F, Lu M, Zhang Y, Wang J, et al. First application of three-dimensional designing total hip arthroplasty with long uncemented stem for fibrous dysplasia patients combined with hip joint osteoarthritis. BMC Musculoskelet Disord. 2019;20(1):222.CrossRefPubMedPubMedCentral
Metadata
Title
Bilateral total hip arthroplasty in a case with fibrous dysplasia: a case report
Authors
Alireza Moharrami
Peyman Mirghaderi
Mir Mansour Moazen-Jamshidi
Nima Hoseini Zare
Sadula Sharifpour
S. M. Javad Mortazavi
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2023
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-023-04084-9

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