가톨릭대 의정부 성모병원 Case

박 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

1994.12.21: pain on left hip for 3 mo.

X-ray; large osteolytic lesion on femoral neck

R/O GCT, ABC

1995. 1.10: PVNS on biopsy BPHA

Final Dx: Osteosarocma

1995. 3. Wide resection with recon.

with autoclaved bone

2007.7.23

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