J Korean Hip Soc.  2011 Mar;23(1):72-78. 10.5371/jkhs.2011.23.1.72.

Total Hip Arthroplasty in Patient with Osteonecrosis of the Femoral Head Following Liver Transplantation: Case Report

Affiliations
  • 1Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea. tryoon@chonnam.ac.kr

Abstract

Liver transplantation has improved the survival of patients with end stage liver disease. As the rates of success of liver transplantation continue to increase, more patients who have a liver transplant will become candidates for joint replacement due to osteonecrosis. The incidence of osteonecrosis has been variously reported as from 2% to 8.2% after liver transplantation. However, there are only three reports in the English medical literature about total hip arthroplasty for osteonecrosis of the femoral head following liver transplantation, and especially there has not been such a report from Asian countries. We report here on two patients with transplanted livers and who then underwent total hip arthroplasty.

Keyword

Hip; Total hip arthroplasty; Femoral head osteonecrosis; Liver transplantation

MeSH Terms

Arthroplasty
Asian Continental Ancestry Group
End Stage Liver Disease
Head
Hip
Humans
Incidence
Joints
Liver
Liver Transplantation
Osteonecrosis
Transplants

Figure

  • Fig. 1 Preoperative radiologic evalulation of the first case. (A, B) Anteroposterior and lateral radiographs of pelvis showing a subchondral sclerosis and femoral head collapse. (C, D) MRI shows the double line sign on right femoral head at T2 weighted coronal view and the hyperintense signal change of right femoral head at T2 weighted axial view.

  • Fig. 2 Radiologic evaluation of the first case at last follow up. (A, B) Postoperative 35-month anteroposterior and lateral radiographs of pelvis showing stable bony ingrowth without radiolucent lines or migration.

  • Fig. 3 Preoperative radiologic evalulation of the second case. (A, B) Anteroposterior and lateral radiographs of pelvis showing a subchondral sclerosis and femoral head collapse. (C, D) MRI shows hypointensie signal change of left femoral head at T2 weighted coronal and axial view.

  • Fig. 4 Radiologic evaluation of the second case at last follow up. (A, B) Postoperative 12-month anteroposterior and lateral radiographs of pelvis showing good alignment.


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