Favorable outcome of a tractional direct anterior approach to total hip arthroplasty in a patient with Charcot arthropathy : case report

• TERAKAWA Hiroakira

• NAKAMURA Junichi

• SUGANO Masahiko

• HAGIWARA Shigeo

• WAKO Yasushi

• MIURA Michiaki

• KAWARAI Yuya

• NAWATA Kento

• YOSHINO Kensuke

• ORITA Sumihisa

• OHTORI Seiji

Bibliographic Information

Other Title

• Case Report : Favorable outcome of a tractional direct anterior approach to total hip arthroplasty in a patient with Charcot arthropathy : case report

Abstract

type:text

[SUMMARY] Introduction: It is generally believed that total hip arthroplasty（THA） is contraindicated in Charcot arthropathy because of poor outcome. We describe a patient with Charcot arthropathy of the hip with a two-year follow-up after THA. Case report: A 59-year-old woman with Charcot-Marie-Tooth disease complained of a sense of discomfort in her right hip joint and gait disturbance. X-ray imaging revealed disappearance of the right femoral head because of joint destruction. THA was conducted under a diagnosis of Charcot arthropathy. To prevent postoperative dislocation, a tractional direct anterior approach was applied to preserve the remaining muscle strength with a minimally invasive technique providing quick rehabilitation. Three dimensional, CT-based preoperative planning was used to achieve a safe zone for the implant alignment. Conclusion: At two years after the THA, the outcome in this patient with Charcot’s arthropathy is satisfactory.

[要旨] 【緒言】一般的に股関節のシャルコー関節に対する人工股関節置換術は禁忌であると考えられていた。しかし近年成績良好な報告が散見されており，適応には議論がある。 【症例】症例はCharcot-marie-tooth 病の既往のある59歳女性，誘引なく歩行困難感が出現し受診した。レントゲン，CT で右大腿骨頭の消失を認め，シャルコー関節の診断とし，人工股関節置換術を施行した。牽引手術台を用いた前方アプローチにより軟部組織の温存をはかることで脱臼を予防した。術前計画に3 次元テンプレートソフトを用い，インプラントのアライメントを確認した。 【結論】2 年と追跡期間は短いものの，シャルコー関節に対する人工股関節置換術で良好な成績を得た。

Journal

• Chiba medical journal

  Chiba medical journal 94E (6), 55-59, 2018-12-01

  The Chiba Medical Society

Keywords

• Charcot arthropathy
• Charcot Marie Tooth disease
• Total hip arthroplasty
• Hip joint

Details

• CRID: 1390572174812174848
• NII Article ID: 120006547324
• NII Book ID: AN00142148
• ISSN: 03035476
• ISSN: 24334235
• DOI: 10.20776/s03035476-94e-6-p55
• NDL BIB ID: 029410133
• Web Site: https://opac.ll.chiba-u.jp/da/curator/105819/
• Web Site: http://id.ndl.go.jp/bib/029410133
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I029410133
• Web Site: https://search.jamas.or.jp/link/ui/2019176229
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • NDL
  • CiNii Articles
  • KAKEN