Hip Arthroplasty in Paget’s Disease: Case Report and Literature Revision

Giaretta S, Spolettini P, Marcanzin M, Colombini AG, Giarola D, Siliquini E, di Benedetto P and Momoli A

Department of Orthopedic and Traumatology, San Bortolo Hospital, Italy
Department of Orthopedics and Trauma Surgery, University of Verona, Italy
Department of Orthopedics, University Friuli Centrale, Italy
Department of Medicine, University of Udine, Italy

^*Correspondance to: Stefano Giaretta 

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Abstract:

Introduction: Paget’s disease of bone represents a relatively frequent pathology affecting the elderly. In order to appropriately treat fractures of the femoral neck in these patients, it is mandatory to correctly diagnose the disease and to thoroughly study the anatomy to choose the correct prosthetic implant. After thorough pre-operative planning, we performed hip arthroplasty in an 88 years old PDB patient. We chose Smith and Nephew REDAPT Modular Shell and a Smith and Nephew POLARSTEM stem, even though a REDAPT stem was available. We then planned a six weeks, three months and six months follow up and we collected data about radiological findings and clinical outcome each time. X-rays findings were always normal with no sign of aseptic loosening, infection or heterotopic ossification. The HHS improved from 60.2 points at six weeks to 82 points at three months. The REDAPT system allows to obtain excellent stability of the implant even in Pagetic bone and it may induce excellent secondary bone ingrowth. In our opinion, multicentric studies are needed to improve our ability to diagnose PDB and properly perform joint arthroplasties in patients affected by PDB.

Keywords:

Paget’s disease; Hip replacement; Pelvis deformity; Bone disease; Femoral fracture

Cite the Article:

Giaretta S, Spolettini P, Marcanzin M, Colombini AG, Giarola D, Siliquini E, et al. Hip Arthroplasty in Paget’s Disease: Case Report and Literature Revision. Clin Case Rep Int. 2022; 6: 1394.