A Case of Acute Prosthesis Migration after Femoral Head Replacement due to Osteomalacia by FGF23-Induced Tumor

Shinya Hayashi; Takayuki Nishiyama; Takaaki Fujishiro; Shingo Hashimoto; Noriyuki Kanzaki; Teruya Kawamoto; Toshihiro Akisue; Kotaro Nishida; Masahiro Kurosaka

doi:10.1155/2012/503956

Case Reports in Medicine (Jan 2012)

A Case of Acute Prosthesis Migration after Femoral Head Replacement due to Osteomalacia by FGF23-Induced Tumor

Shinya Hayashi,
Takayuki Nishiyama,
Takaaki Fujishiro,
Shingo Hashimoto,
Noriyuki Kanzaki,
Teruya Kawamoto,
Toshihiro Akisue,
Kotaro Nishida,
Masahiro Kurosaka

Affiliations

Shinya Hayashi: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Takayuki Nishiyama: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Takaaki Fujishiro: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Shingo Hashimoto: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Noriyuki Kanzaki: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Teruya Kawamoto: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Toshihiro Akisue: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Kotaro Nishida: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
Masahiro Kurosaka: Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan

DOI: https://doi.org/10.1155/2012/503956
Journal volume & issue: Vol. 2012

Abstract

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Fibroblast growth factor 23 (FGF23) was recently identified as an important factor involved in the development of hypophosphatemic rickets and osteomalacia. We experienced a rare case of acute prosthesis migration after hemihip arthroplasty due to FGF23-induced tumor. The patient underwent femoral head replacement because of femoral neck fracture, but prosthesis migration was occurred at 1 week after operation. The patient took various examinations, and FGF23-induced tumor was found in his right wrist. The tumor was resected, and he underwent total hip arthroplasty 8 month later. Finally, he was able to obtain free gait without pain.

Published in Case Reports in Medicine

ISSN: 1687-9627 (Print); 1687-9635 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://onlinelibrary.wiley.com/journal/1683

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