Functional Outcome of Total Hip Arthroplasty in Patient with Flexion Contracture due to Hip Ankylosis: A Rare Case Report

I Wayan Suryanto Dusak; I Gusti Ngurah Indra Wiguna; Febyan Febyan; Kartini Ciatawi

doi:10.3889/oamjms.2023.11354

Authors

I Wayan Suryanto Dusak Department of Orthopaedics and Traumatology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia
I Gusti Ngurah Indra Wiguna Department of Orthopaedics and Traumatology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia
Febyan Febyan Department of Orthopaedics and Traumatology, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia https://orcid.org/0000-0001-9055-0361
Kartini Ciatawi Department of General Medicine, Faculty of Medicine, University of North Sumatera, Medan, North Sumatera, Indonesia https://orcid.org/0000-0002-5473-550X

DOI:

https://doi.org/10.3889/oamjms.2023.11354

Keywords:

Hip ankylosis, Osteonecrosis, Periprosthetic fracture, Total hip arthroplasty

Abstract

BACKGROUND: Performing total hip arthroplasty (THA) or total hip replacement (THR) in hip ankylosis is not a simple procedure.

CASE PRESENTATION: We presented a complicated case of a patient with flexion contracture and ankylosis of hip joint due to neglected avascular necrosis of femoral head treated with THR on one thigh, and periprosthetic fracture on the other which was also treated with THR later. One year after the surgery, the both hips function was improved and the patient was able to walk without assistive device.

CONCLUSION: Total hip replacement is a modality that could be considered for the treatment of advanced AVNFH and ankylosis of hip joint, with femoral periprosthetic fracture as one of its potential complications.

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