Hip Arthroplasty in Patients with Osteogenesis Imperfecta.

JBJS Rev · Jun 08 2021 · Review

Sekeitto AR, van der Jagt K, Sikhauli N, Mokete L, Bowers AG, van der Jagt DR

Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, South Africa

Adult Reconstruction Pediatric Orthopaedics

SUMMARY — THE REDUCTIONReview argues that hip arthroplasty in osteogenesis imperfecta patients is technically challenging but often needed early in life, with modern uncemented implants possibly improving survivorship despite frequent revisions.

Abstract, as published

»: Osteogenesis imperfecta (OI) is a rare congenital disorder that affects connective tissue.

»: Modern medicine has mitigated the mortality that is associated with OI, allowing patients to live a near-normal life span.

»: The degenerative process in OI is probably accelerated because of subclinical intra-articular fractures, joint laxity, and distorted femoral and acetabular anatomy.

»: Total hip arthroplasty is seldom performed in patients with OI; it is technically difficult due to bone fragility, deformity, soft-tissue alteration, acetabular protrusion, the risk of intraoperative and postoperative fractures, and joint laxity.

»: This review highlights that patients with OI need hip arthroplasty procedures at an early age and that early revision surgery can be expected. New-generation uncemented implants may improve implant survivorship.

Read the article: PubMed · Publisher (DOI)

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