Paget’s disease of the hip: surgical management

Abstract

Paget’s bone disease is a rare pathology in which nonorganized resorption and deposition of new bone takes place, leading to structural changes that, in conjunction with increased local vascularity, become symptomatic.The disease affects mostly the pelvic area, including the proximal femur, but the flat bones and skull are also frequently involved. Treatment includes pain management, bisphosphonates and surgery for the correction of deformities. When the hip is compromised these changes eventually develop into arthrosis and total hip arthroplasty becomes an alternative therapy, shown to be successful in restoring patients’ function.