Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia
This case describes the challenges associated with total hip arthroplasty in a patient with unique anatomy, including developmental dysplasia of the hip, pelvic dysmorphism, and unilateral sacroiliac joint autofusion. A 30-year-old female, with a history of developmental dysplasia of the hip treated...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-03-01
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| Series: | Arthroplasty Today |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344119301438 |
| _version_ | 1818479612547563520 |
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| author | Safa C. Fassihi, MD Danny Lee, BS, MBA Andrew A. Tran, MD Ryan Lee, BS Tom Pollard, MD Monica Stadecker, MD Seth Stake, MD Alice J. Hughes, MD Savyasachi Thakkar, MD |
| author_facet | Safa C. Fassihi, MD Danny Lee, BS, MBA Andrew A. Tran, MD Ryan Lee, BS Tom Pollard, MD Monica Stadecker, MD Seth Stake, MD Alice J. Hughes, MD Savyasachi Thakkar, MD |
| author_sort | Safa C. Fassihi, MD |
| collection | DOAJ |
| description | This case describes the challenges associated with total hip arthroplasty in a patient with unique anatomy, including developmental dysplasia of the hip, pelvic dysmorphism, and unilateral sacroiliac joint autofusion. A 30-year-old female, with a history of developmental dysplasia of the hip treated with presumed pelvic osteotomy complicated by postoperative infection, presented with hip pain refractory to conservative management. Radiographic studies demonstrated a 10-cm leg length discrepancy, 20° of acetabular retroversion, severe hemipelvic dysmorphism, ipsilateral sacroiliac joint autofusion, and significant femoral head dysplasia. Total hip arthroplasty was performed using a revision acetabular component and modular femoral component, resulting in improvement in the postoperative leg length discrepancy. There were no neurovascular or other perioperative complications, and the patient was ambulating without pain or assistive devices at 1-year follow-up. Keywords: Hip dysplasia, Pelvic dysmorphism, Total hip arthroplasty |
| first_indexed | 2024-12-10T11:13:04Z |
| format | Article |
| id | doaj.art-af7d0dd70aa44dc1a81c5b1b70a808a4 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-10T11:13:04Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-af7d0dd70aa44dc1a81c5b1b70a808a42022-12-22T01:51:20ZengElsevierArthroplasty Today2352-34412020-03-01614147Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasiaSafa C. Fassihi, MD0Danny Lee, BS, MBA1Andrew A. Tran, MD2Ryan Lee, BS3Tom Pollard, MD4Monica Stadecker, MD5Seth Stake, MD6Alice J. Hughes, MD7Savyasachi Thakkar, MD8Department of Orthopaedic Surgery, The George Washington University, Washington, DC, USASchool of Medicine and Health Sciences, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, The George Washington University, Washington, DC, USA; Corresponding author. 2300 M St NW, 5th Floor, Washington, DC 20037, USA. Tel.: +1 408 476 2609.School of Medicine and Health Sciences, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, The George Washington University, Washington, DC, USADepartment of Orthopaedic Surgery, MedStar Washington Hospital Center, Washington, DC, USAThis case describes the challenges associated with total hip arthroplasty in a patient with unique anatomy, including developmental dysplasia of the hip, pelvic dysmorphism, and unilateral sacroiliac joint autofusion. A 30-year-old female, with a history of developmental dysplasia of the hip treated with presumed pelvic osteotomy complicated by postoperative infection, presented with hip pain refractory to conservative management. Radiographic studies demonstrated a 10-cm leg length discrepancy, 20° of acetabular retroversion, severe hemipelvic dysmorphism, ipsilateral sacroiliac joint autofusion, and significant femoral head dysplasia. Total hip arthroplasty was performed using a revision acetabular component and modular femoral component, resulting in improvement in the postoperative leg length discrepancy. There were no neurovascular or other perioperative complications, and the patient was ambulating without pain or assistive devices at 1-year follow-up. Keywords: Hip dysplasia, Pelvic dysmorphism, Total hip arthroplastyhttp://www.sciencedirect.com/science/article/pii/S2352344119301438 |
| spellingShingle | Safa C. Fassihi, MD Danny Lee, BS, MBA Andrew A. Tran, MD Ryan Lee, BS Tom Pollard, MD Monica Stadecker, MD Seth Stake, MD Alice J. Hughes, MD Savyasachi Thakkar, MD Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia Arthroplasty Today |
| title | Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia |
| title_full | Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia |
| title_fullStr | Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia |
| title_full_unstemmed | Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia |
| title_short | Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia |
| title_sort | total hip arthroplasty in an adult patient with pelvic dysmorphism unilateral sacroiliac joint autofusion and developmental hip dysplasia |
| url | http://www.sciencedirect.com/science/article/pii/S2352344119301438 |
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