Atypical Hydatid Cyst of Entire Right Femur with Pathological Fracture: Total Femur Replacement Case Report

IF 1.1 4区 医学 Q3 ORTHOPEDICS
Hemant Sharma, Lokesh Garg, Rajesh Kumar Verma, Asgar Ali, Lovesh Agarwal, Guruditta Khurana, Lalit Kumar, Sourabh Chachan, Jasmine Kokiloo, Nikita Jajodia
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引用次数: 0

Abstract

Introduction

Hydatid disease is uncommon in Humans. It rarely affects the bones and joints (0.5–4%). Frequent sites of bony involvement are vertebrae, pelvic bones, upper end of long bones e.g. humerus, femur and tibia.

Material and methods

We report a case of 41-year old female with primary Hydatid cyst of the entire right femur. Patient complaint of severe pain and was non ambulatory since the last 2 months.

Results

Here, single staged Total Right Femur Replacement was done under General Anaesthesia. Patient was discharged after 6 days of hospital stay in a stable condition where physical rehabilitation was initiated after day one of the surgery, progressing to aided walking, standing and active lower limb exercises.

Conclusion

Involvement of the entire femur was a challenging case. There is no consensus/gold standard treatment of severe cases. Given the involvement of the entire Right Femur along with spillage in the neighbouring muscles, patient underwent Total Femur Replacement with Hip and Knee Replacement.

Abstract Image

右股骨全段非典型水囊伴病理性骨折:全股骨置换术病例报告
导言水肿病在人类中并不常见。它很少影响骨骼和关节(0.5-4%)。常见的骨骼受累部位是椎骨、盆骨、长骨上端,如肱骨、股骨和胫骨。患者主诉剧烈疼痛,且在过去两个月中一直无法行走。结果在全身麻醉下,患者接受了分阶段的右股骨全置换术。住院 6 天后,患者病情稳定出院,术后第一天开始进行身体康复训练,逐渐发展到辅助行走、站立和主动下肢锻炼。对于严重病例的治疗,目前还没有共识/金标准。鉴于整个右股骨受累,同时邻近肌肉也受到影响,患者接受了全股骨置换术和髋关节、膝关节置换术。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
185
审稿时长
9 months
期刊介绍: IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.
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