Dive into this case of a 30-year-old female from Guinea who suffers from massive osteoporosis and chronic groin infection. She has been completely bent over in half for the last 10 years.
Watch the bilateral girdlestone procedure performed by Nicolas Reina to straighten the patient.
Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.
His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.
Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).
Case presentation
- 30-year-old female from Guinea
- Symptoms started at around 12 YO with progressive stiffness of neck, shoulders, back, hip, and knees
- Is completely bent over in half for the last 10 years
- Dependant for any daily need
Strategy decision
- Two surgical teams: orthopedic and plastic surgeons
- Bilateral girdlestone procedure by bilateral lateral approach
Intraoperative findings
- Massive osteoporosis
- Chronic groin infection
- No possibility of flap or THA
Post-operative follow-up
ICU for 2 months
- Important inflammatory response
- Necrosis of left foot after heparin-induced thrombocytopenia, treated by below-knee amputation
At 6 months
- Groin healed
- Still dependant
- But can see the sky!
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