Resection of Heterotopic Ossifications and Total Hip Arthroplasty Using a Single Ludloff Medial Approach: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00400

Dominic Simon, Maximilian Lerchenberger, Jörg Arnholdt, Boris M Holzapfel, Gautier Beckers

引用次数: 0

Abstract

Case: Heterotopic ossification (HO) is a relatively rare but severe clinical finding around the hip joint, characterized by the formation of extraskeletal bone in soft tissue. We present the case of a 66-year-old man with a severe, painful gait disorder caused by extensive neurogenic bilateral HO. In this case, due to the medial HO localization, we performed a staged bilateral, combined HO resection and total hip arthroplasty using the single medial Ludloff approach.

Conclusion: Our case highlights that, for combined hip osteoarthritis and medial HO, a Ludloff approach can be an effective option for achieving favorable surgical outcomes.

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单路Ludloff内侧入路切除异位骨化和全髋关节置换术1例。

异位骨化（HO）是髋关节周围一种相对罕见但严重的临床表现，其特征是在软组织中形成骨骼外骨。我们提出的情况下，一个66岁的男子与严重的，痛苦的步态障碍引起广泛的神经源性双侧HO。在本例中，由于内侧HO定位，我们采用单内侧Ludloff入路进行了分阶段双侧联合HO切除术和全髋关节置换术。结论：我们的病例强调，对于合并髋关节骨关节炎和内侧HO， Ludloff入路是获得良好手术结果的有效选择。

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.