Total Hip Arthroplasty in Ochronotic Arthropathy: A Case Report

J Orthop Case Rep. 2023 Dec;13(12):86-91. doi: 10.13107/jocr.2023.v13.i12.4090.

Abstract

Introduction: Total hip arthroplasty (THA) is a common procedure used to treat various hip conditions. However, patients with ochronotic arthropathy, a rare genetic disorder characterized by the abnormal accumulation of homogentisic acid, are at a higher risk of post-surgical dislocation and instability due to poor bone quality and joint degeneration.

Case report: This case study features a 52-year-old male patient diagnosed with ochronotic arthropathy who underwent bilateral THA with the use of a dual mobility cup (DMC). Ochronotic arthropathy had caused significant joint degeneration and stiffness, leading to considerable functional impairment.

Conclusion: The application of a DMC in THA for patients with ochronotic arthropathy has shown promising outcomes. The DMC offers increased range of motion and improved stability, effectively reducing the risk of post-surgical dislocation and implant failure. This case study highlights the potential of DMC as a viable solution for addressing the challenges posed by poor bone quality in patients with ochronotic arthropathy undergoing THA.

Keywords: Total hip arthroplasty; dislocation; dual mobility cup; ochronotic arthropathy; range of motion.

Publication types

  • Case Reports