THA を施行したアルカプトン尿症性股関節症の 1 例

加島 伸浩; 熊野 貴史; 山川 晃司; 秋吉 祐一郎; 内藤 正俊; 荒木 剛; 藤澤 基之; 神戸 太一; 石河 利之; 山口 哲; 白水 圭; 安部 龍暢; 舌間 宗士; 江副 正光

doi:10.5035/nishiseisai.53.874

A Case Report of Alcaptonuria Treated with Total Hip Arthroplasty

Nobuhiro Kashima, Takafumi Kumano, Koji Yamakawa, Yuichiro Akiyoshi, Masatoshi Naito, Go Araki, Motoyuki Fujisawa, Taichi Kambe, Toshiyuki Ishiko, Tetsu Yamaguchi, Kei Shiramizu, Tatsunobu Abe, Hiroshi Shitama, Masamitsu Ezoe

Author information

Nobuhiro Kashima
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Takafumi Kumano
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Koji Yamakawa
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Yuichiro Akiyoshi
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Masatoshi Naito
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Go Araki
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Motoyuki Fujisawa
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Taichi Kambe
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Toshiyuki Ishiko
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Tetsu Yamaguchi
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Kei Shiramizu
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Tatsunobu Abe
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Hiroshi Shitama
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University
Masamitsu Ezoe
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University

Keywords: ochronosis, alcaptonuria, total hip arthroplasty

JOURNAL FREE ACCESS

2004 Volume 53 Issue 4 Pages 874-877

DOI https://doi.org/10.5035/nishiseisai.53.874

Details

Abstract

Alcaptonuria is rare metabolic disorder caused by deficiency of homogentisic acid enzyme. Ochronotic arthropathy is one of its late complications accompanied by pain and motion restriction of the spine, hips, knees, and shoulders.
We report a case of a 61-year-old man with ochronotic hip arthropathy. The patient's radiograph showed rapid collapse of the femoral head. Total hip arthroplasty was carried out and short-term results were good.

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