Abstract
In this report, we present a case of a 57-year-old man complaining of pain in both
his hips. Clinically, the patient reported lameness and reduction in the range of
motion of the hips. Radiographic imaging showed a very narrow medullary femoral canal,
confirmed by a computed tomography scan. In consideration of the narrowness of the
femoral canal and cortex thickening, and due to the rarity of the clinical case, we
opted to use a custom-made prosthesis. We performed total hip arthroplasty, initially
on the right side. One year later, we repeated the procedure on the left side. One
year after the last surgery, the patient reported well-being and continuous improvement
in walking, with no complications. This case report highlights the features and the
critical issues related to this kind of surgery in patients affected by Paget's disease
of the bone and the importance of custom-made implants in challenging cases.
Keywords
Paget's disease - rare disease - custom-made hip arthroplasty - femoral cortical thickening
- canal narrowing
