Hip Arthroplasty in Patients with Osteogenesis Imperfecta

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-ar...

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Bibliographic Details
Published inJBJS reviews Vol. 9; no. 6
Main Authors Sekeitto, Allan Roy, van der Jagt, Kaeriann, Sikhauli, Nkhodiseni, Mokete, Lipalo, Bowers, Alban Gerard, van der Jagt, Dick Ronald
Format Journal Article
LanguageEnglish
Published United States 08.06.2021
Subjects
Acetabulum - surgery
Arthroplasty, Replacement, Hip - methods
Femur - surgery
Humans
Osteogenesis Imperfecta - complications
Osteogenesis Imperfecta - surgery
Reoperation
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Summary: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.
ISSN:2329-9185
DOI:10.2106/JBJS.RVW.20.00171