가톨릭대 의정부 성모병원 Case 박 원 종박 원 종 증례 3
36 years/male Pain on his left hip for 1 year X-ray findings 1. wear of cup line with radiolucency around the cup subluxation 2. destruction of recycled proximal femeur 3. stable fixation of distal femoral stem with bone cement
P/H : pain on left hip for 3 mo. X-ray; large osteolytic lesion on femoral neck R/O GCT, ABC : PVNS on biopsy BPHA Final Dx: Osteosarocma Wide resection with recon. with autoclaved bone
Replacement Arthroplasty 1. Cup replacement allgraft / bone cement 2. Femoral stem replacement How to take out the stem??? How to revise the stem??? Leave it alone???
POD 1 year