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Hip arthroplasty in patients with Paget's disease

, : Hip arthroplasty in patients with Paget's disease. Clinical Orthopaedics and Related Research: 243-250

In individuals with Paget's disease, the pelvis and upper femur are the areas of the skeleton most frequently involved. Associated deformities and alterations in bone quality can complicate total hip arthroplasty when required for degenerative joint changes, and can compromise outcome. A review of reported series shows that patients with Paget's disease may present unique problems during the preoperative assessment, intraoperative treatment, and postoperative followup. Preoperative determination of disease activity and assessment of the cause of hip symptoms is important. Intraoperatively, deformity such as coxa vara, femoral bowing, acetabular protrusio, and bony enlargement may cause alterations in implant choice or fixation method used and the patient may even require corrective osteotomy. Excessive bleeding and bone quality changes may complicate these efforts additionally. Postoperative problems include heterotopic bone formation, and in those patients in whom the underlying disease is highly active or poorly controlled, rapid postoperative bone resorption is possible. Results of cemented arthroplasty in patients with Paget's disease have been reported as comparable with but slightly worse than the results reported for unselected patients who underwent hip arthroplasty. The long-term results of uncemented implants in patients with Paget's disease remains to be established.


PMID: 10611879

Other references

Alpert, M.; Friedhoff, A.J.; Marcos, L.R.; Diamond, F., 1978: Paradoxical reaction to L-dopa in schizophrenic patients. The authors administered 6 g of L-dopa to 8 schizophrenic patients and 750 mg of chlorpromazine to 7 schizophrenic patients. Chlorpromazine showed only a modest advantage over L-dopa and only on some Brief Psychiatric Rating Scale factor scores, a...

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Emmerová, M.; Rusnáková, H.; Barcal, R.; Holecek, V., 1974: Acidobasic balance in acute stages of myocardial infarction. Casopis Lekaru Ceskych 113(2): 46-48

Pasett, B.Mbardella, M.; Boccato, P., 1960: Histochemical and pathogenetic considerations on a case of thymoma without associated myasthenia. Rivista di Anatomia Patologica E di Oncologia 18: 533-548

Gage, N.D.; Landon, J.F.tch, 1942: Communicable diseases. Communicable diseases 3d ed xv + 458p 14 col pl , 52 fig

Egashira, N.; Iwanaga, H.; Okabe, K.; Ohga, K., 1992: Selective determination of pyridoxal in nonfat dry milk using a carbon paste electrode modified with an amine having a long alkyl chain. In this note a carbon paste electrode (CPE) modified with 1-amino-12-(octadecanoylamino)decane (AOAD), having more methylene groups, is described for determination of pyridoxal. The CPE showed an almost flat background current, probably due to the...

Milster, H., 1976: The assessment of washing processes for wool in domestic washing machines. Tenside 13 (4) 221-224

Metzner, M.; Gentile, A., 2002: Conservative correction of the congenital metacarpophalangeal flexural deformity of the calf. The authors illustrate a medical approach for the conservative correction of congenital metacarpophalangeal flexural deformity in the calf. The method is suitable for mild-to-moderate flexural deformities and is based on the application of an exte...

Zieren, H.U.; Müller, J.M., 1996: After-care of gastrointestinal malignancies--an evaluation of costs and benefits. To determine the costs and benefit of standardized follow-up programs after surgical therapy of gastrointestinal malignancies. Retrospective analysis of the results and the costs of regular outpatient follow-up examinations after radical resection...

Anil Kumar; Mishra, S.K.; Minakshi ; Sadana, J.R.; Dahiya, J.P., 2000: Immunological studies on sodium chloride toxicity in broiler chicks. The immunological status of broiler chicks following sodium chloride intoxication is described. The excess of sodium chloride in the diet has some immunosuppressive effect on cell mediated and humoral immune response in broiler chicks.