Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia
Phocomelia is a rare congenital birth defect marked by hypoplastic or markedly absent limbs. Developmental dysplasia of the hip (DDH) is a congenital disorder with a failure of the native acetabulum to provide complete coverage over the femoral head. The secondary osteoarthritis that develops from D...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344121000054 |
| _version_ | 1818440259155787776 |
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| author | Akshar H. Patel, MD Stefan W. Kreuzer, MD, MSc William F. Sherman, MD, MBA |
| author_facet | Akshar H. Patel, MD Stefan W. Kreuzer, MD, MSc William F. Sherman, MD, MBA |
| author_sort | Akshar H. Patel, MD |
| collection | DOAJ |
| description | Phocomelia is a rare congenital birth defect marked by hypoplastic or markedly absent limbs. Developmental dysplasia of the hip (DDH) is a congenital disorder with a failure of the native acetabulum to provide complete coverage over the femoral head. The secondary osteoarthritis that develops from DDH is technically challenging for orthopedic surgeons because of distorted anatomy. The present case describes the diagnosis of Crowe 3 DDH in a phocomelia patient with hyperflexion requirements who successfully underwent staged bilateral total hip arthroplasty via a direct anterior approach. It highlights the utility of preoperative computerized tomography and intraoperative computer navigation to assist in implant placement. Recognizing difficult arthroplasty cases in advance is imperative as these cases may require great expertise and more extensive surgical planning. |
| first_indexed | 2024-12-14T18:09:31Z |
| format | Article |
| id | doaj.art-ac10c58314ba46ad9c95120cc32958c2 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-14T18:09:31Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-ac10c58314ba46ad9c95120cc32958c22022-12-21T22:52:19ZengElsevierArthroplasty Today2352-34412021-04-018262267.e1Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to PhocomeliaAkshar H. Patel, MD0Stefan W. Kreuzer, MD, MSc1William F. Sherman, MD, MBA2Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA, USAInov8 Orthopedics, Houston, TX, USADepartment of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA, USA; Corresponding author. 1430 Tulane Avenue, New Orleans, LA 70112, USA. Tel.: +1 504 982 0252.Phocomelia is a rare congenital birth defect marked by hypoplastic or markedly absent limbs. Developmental dysplasia of the hip (DDH) is a congenital disorder with a failure of the native acetabulum to provide complete coverage over the femoral head. The secondary osteoarthritis that develops from DDH is technically challenging for orthopedic surgeons because of distorted anatomy. The present case describes the diagnosis of Crowe 3 DDH in a phocomelia patient with hyperflexion requirements who successfully underwent staged bilateral total hip arthroplasty via a direct anterior approach. It highlights the utility of preoperative computerized tomography and intraoperative computer navigation to assist in implant placement. Recognizing difficult arthroplasty cases in advance is imperative as these cases may require great expertise and more extensive surgical planning.http://www.sciencedirect.com/science/article/pii/S2352344121000054Total hip arthroplastyHip dysplasiaPhocomeliaLimb defectContractureComputer navigation |
| spellingShingle | Akshar H. Patel, MD Stefan W. Kreuzer, MD, MSc William F. Sherman, MD, MBA Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia Arthroplasty Today Total hip arthroplasty Hip dysplasia Phocomelia Limb defect Contracture Computer navigation |
| title | Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia |
| title_full | Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia |
| title_fullStr | Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia |
| title_full_unstemmed | Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia |
| title_short | Bilateral Total Hip Arthroplasty in the Setting of Developmental Dysplasia of the Hip and Extreme Hip Flexion Requirements due to Phocomelia |
| title_sort | bilateral total hip arthroplasty in the setting of developmental dysplasia of the hip and extreme hip flexion requirements due to phocomelia |
| topic | Total hip arthroplasty Hip dysplasia Phocomelia Limb defect Contracture Computer navigation |
| url | http://www.sciencedirect.com/science/article/pii/S2352344121000054 |
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