Conversion Birmingham Hip Resurfacing in Managing Post-traumatic Arthritis With Retained Femoral Hardware: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI:10.2106/JBJS.CC.23.00559
Shujaa T Khan, Ignacio Pasqualini, Nathan Mesko, John McLaughlin, Peter J Brooks, Nicolas S Piuzzi
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Abstract

Case: A 70-year-old man with a year-long history of arthritic pain in his left hip presented to our clinic. He had a left intertrochanteric hip fracture 6 years ago, fixed with an open reduction internal fixation with a cephalomedullary nail. He underwent a conversion Birmingham Hip Resurfacing (BHR) with removal of the proximal helicoidal blade and retention of the intramedullary nail. At 7-year follow-up, the patient reported satisfactory clinical outcomes and excellent radiographic fixation.

Conclusion: This case highlights using conversion BHR in patients with post-traumatic arthritis with retained femoral hardware as an alternative to conventional total hip arthroplasty.

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转用伯明翰髋关节置换术治疗股骨硬件残留的创伤后关节炎:病例报告。
病例一位 70 岁的男性患者来我院就诊,他的左髋关节疼痛已有一年之久。6 年前,他左侧转子间髋部骨折,采用头髓内钉开放复位内固定术固定。他接受了伯明翰髋关节置换术(BHR),切除了近端螺旋叶片,保留了髓内钉。7年的随访结果显示,患者的临床疗效令人满意,放射学固定效果极佳:本病例强调了在股骨硬件残留的创伤后关节炎患者中使用转换BHR作为传统全髋关节置换术的替代方案。
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来源期刊
JBJS case connector
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.
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