Giant solitary acetabular osteochondroma with a 30-year-old neglected fracture neck femur treated with total hip arthroplasty: A case report

Abstract

Background: Outcome of total hip arthroplasty (THA) in a patient with a giant solitary acetabular osteochondroma and a 30-year-old neglected fracture neck femur with a high-riding dislocated hip has never been described. Case report: A 60-year-old female with a 30-year-old untreated fracture neck femur with resorbed femur head and a giant intra-articular acetabular osteochondroma was managed by tumor excision and THA surgery. At a follow up of 1 year, function improved significantly, with a limb length discrepancy of 1cm, and no evidence of tumor recurrence. Conclusion: Despite the complexity of the surgical technique, tumor excision with concomitant THA surgery achieved excellent results in the short-term.

Keywords

• Osteochondroma
• Hip
• Total hip arthroplasty
• Neglected fracture
• Bone tumor