Hip and knee arthroplasty in hypophosphatemic rickets

A. Noelle Larson, Robert T. Trousdale, Mark W. Pagnano, Arlen D. Hanssen, David G. Lewallen, Joaquin Sanchez-Sotelo

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

There is very limited published information about the technical aspects and durability of lower extremity arthroplasty in hypophosphatemic rickets. Between 1972 and 2006, 8 total hip arthroplasties (THAs) and 6 total knee arthroplasties (TKAs) were performed in 8 patients with degenerative arthritis and bone deformity secondary to hypophosphatemic rickets. Two hips required osteotomies at the time of arthroplasty, and 1 TKA patient required postoperative osteotomies. Specialized implants were required in 3 hips and 1 knee. At average follow-up of 7 years, mean Harris hip scores improved to 21 points, and mean Knee Society pain and function scores improved to 48 points and 27 points, respectively. One cemented THA failed due to femoral aseptic loosening at 13 years postoperatively; all other implants remained well fixed. Lower extremity arthroplasty is effective and durable for patients with arthritis associated with hypophosphatemic rickets, but corrective osteotomies and use of special implants should be anticipated with more severe deformities.

Original languageEnglish (US)
Pages (from-to)1099-1103
Number of pages5
JournalJournal of Arthroplasty
Volume25
Issue number7
DOIs
StatePublished - Oct 1 2010

Keywords

  • Arthroplasty
  • Hip
  • Knee
  • Rickets

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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    Larson, A. N., Trousdale, R. T., Pagnano, M. W., Hanssen, A. D., Lewallen, D. G., & Sanchez-Sotelo, J. (2010). Hip and knee arthroplasty in hypophosphatemic rickets. Journal of Arthroplasty, 25(7), 1099-1103. https://doi.org/10.1016/j.arth.2009.06.023