Correction of Acquired Leg Length Discrepancy after Hip Resurfacing Arthroplasty by Revision Resurfacing: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-08-29 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.23.00647

Zachary Wong, Louis A Jordan, Anand Saluja, Jonathan Spaan, Edwin Su

引用次数: 0

Abstract

Case: A 53-year-old man presented with a 13-mm leg length discrepancy following left hip resurfacing arthroplasty (HRA), resulting in pain and imbalance. Advanced osteoarthritis of the contralateral hip was also noted. The patient strongly preferred HRA over total hip arthroplasty. Adequate remaining bone stock and the ability to resurface the contralateral hip allowed for resolution with 2 HRAs.

Conclusion: This is the first known revision of a HRA with a subsequent HRA. Assuming sufficient bone stock and precise implant positioning, resurfacing presents a feasible methodology to overcome complex anatomical deformities and improve mobility.

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通过翻修髋关节置换术矫正髋关节置换术后获得性腿长不一致：病例报告。

病例：一名 53 岁的男子在接受左侧髋关节置换术（HRA）后出现 13 毫米的腿长差异，导致疼痛和不平衡。对侧髋关节也出现了晚期骨关节炎。与全髋关节置换术相比，患者更倾向于接受 HRA。充足的剩余骨量和对侧髋关节表面再植的能力使得患者可以通过两次HRA手术解决问题：结论：这是已知的首例HRA翻修后再行HRA的病例。假定有足够的骨量和精确的植入物定位，再植是克服复杂解剖畸形和改善活动度的可行方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.