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To: Dr. Raj
georgia888 posted:
georgia888 posted: Hello Dr. Raj,
I have fibrous dysplasia of my left femur along with severe osteoarthritis of my left hip. I have read where such dysplasia can lead to oa. What is your thought on this? My right femur & hip are fine.

My surgeon said the hip replacement would be somewhat difficult in getting the prosthesis to fit on the deformed femur yet he feels confident with options to get around this. He did not say what these options were. Have you dealt with this condition &, if so, how did you proceed?

Thank you,
Bal M Rajagopalan, MD responded:
Hello Georgia

Fibrous Dyplasia in itself does not lead to osteoarthritis as it more of an issue involving the bone away from the actual joint. With fibrous dysplasia you can have microfractures and pain which alters your gait and invariably can affect the load and blood supply of the actual hip on the same side. I have dealt with cases of your nature and we as surgeons have alot of backups to handle deformed bone. In your case he may use a longer stem or actually cement the stem in for immediate stability. In any case your surgeon sounds confident he will be able to get immediate stability. Thank you for you great questions.


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