Complex Total Hip Arthroplasty in a Patient with Klippel-Trénaunay Syndrome: A Case Report
- PMID: 35020676
- DOI: 10.2106/JBJS.CC.20.00488
Complex Total Hip Arthroplasty in a Patient with Klippel-Trénaunay Syndrome: A Case Report
Abstract
Case: Klippel-Trénaunay syndrome (KTS) carries manifestations including skeletal dysplasia and prominent vascular malformations. This report details a case of hip dysplasia in the setting of KTS treated with total hip arthroplasty (THA) requiring preoperative embolization, intraoperative angiography for placement of an iliac artery occlusive balloon, and modular hip arthroplasty components for femoral and acetabular dysplasia. Perioperatively, the patient rehabilitated well and was walking painlessly and unassisted at 3 and 12 months postoperatively.
Conclusion: Successful THA for dysplasia and degenerative changes associated with KTS is possible but requires a complex multidisciplinary perioperative approach.
Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B604).
References
-
- Kihiczak GG, Meine JG, Schwartz RA, Janniger CK. Klippel-Trenaunay syndrome: a multisystem disorder possibly resulting from a pathogenic gene for vascular and tissue overgrowth. Int J Dermatol. 2006;45:883-90.
-
- Gloviczki P, Hollier LH, Telander RL, Kaufman B, Bianco AJ, Stickler GB. Surgical implications of Klippel-Trenaunay syndrome. Ann Surg. 1983;197:353-62.
-
- Joseph EG, Ernest EP, Dietz MJ. Complicated total knee arthroplasty in a patient with Klippel-trenaunay-Weber syndrome: a case report. JBJS Case Connect. 2017;7:e73.
-
- Labott JR, Wyles CC, Houdek MT, Tollefson MM, Driscoll DJ, Shaughnessy WJ, Sierra RJ. Total knee arthroplasty is safe and successful in patients with Klippel-Trénaunay syndrome. J Arthroplasty. 2019;34:682-5.
-
- Mallick A, Weeber AC. An experience of arthroplasty in Klippel–Trenanay syndrome. Ejost. 17:97-9.
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