Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report

Abstract Background Osteopoikilosis (OPK) is a rare benign sclerosing bone dysplasia and is often incidentally found on plain radiography. OPK generally does not require treatment. Nevertheless, osteonecrosis or degenerative joint disease can occur in the setting of OPK, and little is known with reg...

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Main Authors: Yao-Yuan Chang, Wei-Hsin Lin
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-021-04258-w
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author Yao-Yuan Chang
Wei-Hsin Lin
author_facet Yao-Yuan Chang
Wei-Hsin Lin
author_sort Yao-Yuan Chang
collection DOAJ
description Abstract Background Osteopoikilosis (OPK) is a rare benign sclerosing bone dysplasia and is often incidentally found on plain radiography. OPK generally does not require treatment. Nevertheless, osteonecrosis or degenerative joint disease can occur in the setting of OPK, and little is known with regard to the longevity of arthroplasty prostheses implanted into OPK-bearing bones. Case presentation A 55-year-old male presented with progressive right hip pain in 2012. He was diagnosed with coexisting osteopoikilosis and developmental dysplasia of the right hip with advanced osteoarthritis after a series of imaging studies including radiographs, magnetic resonance imaging (MRI), and bone scan. A cementless total hip arthroplasty was performed to treat his right hip pain. Radiographs at eight-year follow-up showed the prosthetic components were well-fixed. Harris hip score of the patient’s right hip was 93. The patient can walk without assistance and work as a construction worker. Conclusion Cementless arthroplasty can be considered in patients with hip arthropathies and co-existing osteopoikilosis. Continued follow-up is required to establish the long-term results.
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spelling doaj.art-d6b949cb2f474fd2a61ca64828c4b51b2022-12-21T19:41:17ZengBMCBMC Musculoskeletal Disorders1471-24742021-04-012211410.1186/s12891-021-04258-wResult of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case reportYao-Yuan Chang0Wei-Hsin Lin1Departments of Orthopedic Surgery, National Taiwan University HospitalDepartments of Orthopedic Surgery, National Taiwan University HospitalAbstract Background Osteopoikilosis (OPK) is a rare benign sclerosing bone dysplasia and is often incidentally found on plain radiography. OPK generally does not require treatment. Nevertheless, osteonecrosis or degenerative joint disease can occur in the setting of OPK, and little is known with regard to the longevity of arthroplasty prostheses implanted into OPK-bearing bones. Case presentation A 55-year-old male presented with progressive right hip pain in 2012. He was diagnosed with coexisting osteopoikilosis and developmental dysplasia of the right hip with advanced osteoarthritis after a series of imaging studies including radiographs, magnetic resonance imaging (MRI), and bone scan. A cementless total hip arthroplasty was performed to treat his right hip pain. Radiographs at eight-year follow-up showed the prosthetic components were well-fixed. Harris hip score of the patient’s right hip was 93. The patient can walk without assistance and work as a construction worker. Conclusion Cementless arthroplasty can be considered in patients with hip arthropathies and co-existing osteopoikilosis. Continued follow-up is required to establish the long-term results.https://doi.org/10.1186/s12891-021-04258-wOsteopoikilosisSclerosing bone dysplasiaDevelopmental dysplasia of hipAnd total hip arthroplasty
spellingShingle Yao-Yuan Chang
Wei-Hsin Lin
Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
BMC Musculoskeletal Disorders
Osteopoikilosis
Sclerosing bone dysplasia
Developmental dysplasia of hip
And total hip arthroplasty
title Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
title_full Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
title_fullStr Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
title_full_unstemmed Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
title_short Result of cementless total hip arthroplasty in a patient with osteopoikilosis, hip dysplasia and advanced osteoarthritis: a case report
title_sort result of cementless total hip arthroplasty in a patient with osteopoikilosis hip dysplasia and advanced osteoarthritis a case report
topic Osteopoikilosis
Sclerosing bone dysplasia
Developmental dysplasia of hip
And total hip arthroplasty
url https://doi.org/10.1186/s12891-021-04258-w
work_keys_str_mv AT yaoyuanchang resultofcementlesstotalhiparthroplastyinapatientwithosteopoikilosishipdysplasiaandadvancedosteoarthritisacasereport
AT weihsinlin resultofcementlesstotalhiparthroplastyinapatientwithosteopoikilosishipdysplasiaandadvancedosteoarthritisacasereport