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Case Reports in Orthopedics
Volume 2016, Article ID 4279060, 4 pages
http://dx.doi.org/10.1155/2016/4279060
Case Report

Total Hip Arthroplasty Using a Polished Tapered Cemented Stem in Hereditary Multiple Exostosis

1Department of Orthopaedic Surgery, Juntendo Shizuoka Hospital, Izunagaoka 1129, Izunokuni, Shizuoka 410-2295, Japan
2Department of Orthopaedic Surgery, Juntendo University, Hongo 3-1-3, Bunkyo-ku, Tokyo 113-8431, Japan
3Department of Orthopaedic Surgery, Juntendo Shizuoka Hospital, Nagaoka 1129, Izunokuni, Shizuoka 410-2295, Japan

Received 9 January 2016; Revised 13 March 2016; Accepted 22 March 2016

Academic Editor: Stamatios A. Papadakis

Copyright © 2016 Akio Kanda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 61-year-old Japanese man underwent right total hip arthroplasty for hereditary multiple exostosis. At first presentation, he had suffered from coxalgia for a long time. On radiographic images, there was a gigantic femoral head, increased shaft angle, and large diameter of the femoral neck. He had also developed coxarthrosis and severe pain of the hip joint. The transformation of the proximal femur bone causes difficulty in setting a cementless total hip prosthesis. Therefore, total hip arthroplasty using a cemented polished tapered stem was performed via a direct lateral approach. Using a cemented polished tapered stem allowed us to deal with the femoral bone transformation and bone substance defectiveness due to exostosis and also minimized the invasiveness of the operation.