Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease
IntroductionKashin-Beck Disease (KBD) is an endemic disease predominantly affecting joint and skeletal muscle, predisposing the articular cartilage to degeneration and necrosis. Currently,staged total hip arthroplasty is a common surgical method for advanced femoral head necrosis from KBD, but there...
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.978697/full |
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| author | Xiangyu Chen Haibin Liu Houqing Wang Liqiang Zheng Jiayu Li Lianqi Yan |
| author_facet | Xiangyu Chen Haibin Liu Houqing Wang Liqiang Zheng Jiayu Li Lianqi Yan |
| author_sort | Xiangyu Chen |
| collection | DOAJ |
| description | IntroductionKashin-Beck Disease (KBD) is an endemic disease predominantly affecting joint and skeletal muscle, predisposing the articular cartilage to degeneration and necrosis. Currently,staged total hip arthroplasty is a common surgical method for advanced femoral head necrosis from KBD, but there are no reports in the literature on simultaneous bilateral total hip arthroplasty (SB-THA) for patients with KBD.Case presentationA 42-year-old male from Shaanxi Province, an endemic area, had bilateral hip pain for 4 years, with hips inversion and a crossed gait. After preoperative preparation, a SB-THA was performed by a posterolateral approach. Postoperative medication and functional exercises were administered and the patient was followed up for at least 3 years after discharge. The patient's hip mobility, hip scores and quality of life scores were recorded in detail during the follow-up.ResultThe patient stopped antibiotic treatment on the postoperative day-2, and all inflammatory indicators showed normal and started appropriate exercise, and the pain score decreased significantly. On the postoperative day-7, the patient had gradually adapted to various forms of rehabilitation exercises. He was discharged from the hospital on the postoperative day-10 and continued to be followed up. From the preoperative period to the last follow-up, the patient's bilateral hip mobility and functional scores improved significantly, and no adverse events such as hip pain, prosthesis loosening or dislocation were found at the last follow-up.ConclusionThe patient's performance was satisfactory both intraoperatively and in the early postoperative period, but the hip scores and quality of life scores began to plateau or even decline from the third year after surgery to the last follow-up, probably due to the influence of further damage to articular cartilage in other parts of the body. |
| first_indexed | 2024-04-11T21:42:37Z |
| format | Article |
| id | doaj.art-ffe39d5517fb4115975ce522f71cd562 |
| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-04-11T21:42:37Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-ffe39d5517fb4115975ce522f71cd5622022-12-22T04:01:33ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.978697978697Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck DiseaseXiangyu Chen0Haibin Liu1Houqing Wang2Liqiang Zheng3Jiayu Li4Lianqi Yan5Medical College, Yangzhou University, Yangzhou, ChinaFu County People’s Hospital, Yan'an, ChinaMedical College, Yangzhou University, Yangzhou, ChinaDalian Medical University, Dalian, ChinaDalian Medical University, Dalian, ChinaJoint Department, Northern Jiangsu People’s Hospital (NJPH), Yangzhou, ChinaIntroductionKashin-Beck Disease (KBD) is an endemic disease predominantly affecting joint and skeletal muscle, predisposing the articular cartilage to degeneration and necrosis. Currently,staged total hip arthroplasty is a common surgical method for advanced femoral head necrosis from KBD, but there are no reports in the literature on simultaneous bilateral total hip arthroplasty (SB-THA) for patients with KBD.Case presentationA 42-year-old male from Shaanxi Province, an endemic area, had bilateral hip pain for 4 years, with hips inversion and a crossed gait. After preoperative preparation, a SB-THA was performed by a posterolateral approach. Postoperative medication and functional exercises were administered and the patient was followed up for at least 3 years after discharge. The patient's hip mobility, hip scores and quality of life scores were recorded in detail during the follow-up.ResultThe patient stopped antibiotic treatment on the postoperative day-2, and all inflammatory indicators showed normal and started appropriate exercise, and the pain score decreased significantly. On the postoperative day-7, the patient had gradually adapted to various forms of rehabilitation exercises. He was discharged from the hospital on the postoperative day-10 and continued to be followed up. From the preoperative period to the last follow-up, the patient's bilateral hip mobility and functional scores improved significantly, and no adverse events such as hip pain, prosthesis loosening or dislocation were found at the last follow-up.ConclusionThe patient's performance was satisfactory both intraoperatively and in the early postoperative period, but the hip scores and quality of life scores began to plateau or even decline from the third year after surgery to the last follow-up, probably due to the influence of further damage to articular cartilage in other parts of the body.https://www.frontiersin.org/articles/10.3389/fsurg.2022.978697/fullKashin-Beck Diseasefemoral head necrosistreatmentfollow-upsimultaneous bilateral total hip arthroplasty |
| spellingShingle | Xiangyu Chen Haibin Liu Houqing Wang Liqiang Zheng Jiayu Li Lianqi Yan Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease Frontiers in Surgery Kashin-Beck Disease femoral head necrosis treatment follow-up simultaneous bilateral total hip arthroplasty |
| title | Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease |
| title_full | Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease |
| title_fullStr | Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease |
| title_full_unstemmed | Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease |
| title_short | Case report: A 3-year follow-up study of simultaneous bilateral total hip arthroplasty for Femoral head necrosis in a patient with Kashin-Beck Disease |
| title_sort | case report a 3 year follow up study of simultaneous bilateral total hip arthroplasty for femoral head necrosis in a patient with kashin beck disease |
| topic | Kashin-Beck Disease femoral head necrosis treatment follow-up simultaneous bilateral total hip arthroplasty |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.978697/full |
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