A single-component and hemi-hip prosthesis followed up for 43 years: A case report

Medicine
Yuan LiuMin Dai

Abstract

Giant cell tumor (GCT) is a locally aggressive bone tumor with a high recurrence rate if not completely excised. And reconstructive hip surgery using an artificial prosthesis in a young active patient is controversial because of problems related to the durability of the artificial joint. A 30-year-old man presented with right hip pain and other more severe symptoms, but without fever or night sweats. After 4 months, he experienced intense pain at the root of the right leg and limitation of motion after falling from a bicycle. Giant cell tumor. The patient was treated with surgical resection of the total tumor, and hemiarthroplasty of the hip joint using a custom-made titanium femoral prosthesis. The patient could perform activities of daily living, even walking long distance without pain. He continued to work as a teacher for 30 years and retired 11 years after the surgery. A well-designed, custom-fitted, single-component, wear-resistant joint prosthesis should be the brand-new direction of development of artificial joints.

References

Dec 1, 1994·The Journal of Bone and Joint Surgery. American Volume·R J O'DonnellH J Mankin
Jul 3, 1999·The Journal of Bone and Joint Surgery. American Volume·H R BlackleyR S Bell
Dec 29, 2000·Clinical Orthopaedics and Related Research·T P SchmalzriedH C Amstutz
Apr 16, 2002·Clinical Orthopaedics and Related Research·Robert E TurcotteUNKNOWN Canadian Sarcoma Group
Sep 1, 2005·Clinical Orthopaedics and Related Research·Richard L McGoughAlan W Yasko
Apr 10, 2007·Clinical Orthopaedics and Related Research·Benjamin M DeheshiJay S Wunder
Aug 24, 2007·Archives of Orthopaedic and Trauma Surgery·Kenshi SakayamaHaruyasu Yamamoto

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Methods Mentioned

BETA
total-hip arthroplasty
X-ray

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