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Surgery in Paget’s Disease

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Paget’s Disease of Bone

Abstract

The orthopedic surgeon is often called on to help manage the complications of Paget’s disease. These complications include severe bone pain, joint pain, skeletal deformity, pathologic fracture, and malignant degeneration. In this chapter, I will review the biologic basis of deformity in Paget’s disease and then examine a few common problems likely to require the attention of an orthopedic surgeon.

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References

  1. Carter DR, Hayes WC: The compressive behavior of bone as a two-phase porous structure. J Bone Joint Surg 1977; 59A: 954–962.

    PubMed  CAS  Google Scholar 

  2. Kaplan FS: Why there is deformity in Paget’s disease and what can be done about it? The Paget’s Disease Foundation Inc. Fall 1987 Update. 1987; 9 (l): 4–5.

    Google Scholar 

  3. Parfitt AM: The coupling of bone formation to bone resorption: A critical analysis of the concept and of its relevance to the pathogenesis of osteoporosis. Metab Bone Dis 1982; 4 (1): 1–6.

    Article  CAS  Google Scholar 

  4. Reilly DT, Burstein AH: The mechanical properties of cortical bone. J Bone Joint Surg 1974; 56A: 1001–1022.

    PubMed  CAS  Google Scholar 

  5. Rubin CT, Hausman MR: The cellular basis of Wolff’s law: Transduction of physical stimuli to skeletal adaptation. Rheum Dis Clin North Am 1988; 14: 503–517.

    PubMed  CAS  Google Scholar 

  6. Treharne RW: Review of Wolff’s law and its proposed means of operation. Orthop Rev 1981; 10 (l): 35–47.

    Google Scholar 

  7. Altman RD, Brown M, Gargano F: Low back pain in Paget’s disease of bone. Clin Orthop 1987; 217: 152–161.

    PubMed  Google Scholar 

  8. Dalinka MK, Aronchick JM, Haddad JG: Paget’s disease: Symposium on Orthopaedic Radiology. Orthop Clin North Am 1983; 14 (1): 3–19.

    PubMed  CAS  Google Scholar 

  9. Douglas DL, Duckworth T, Kanis JA, et al: Spinal cord dysfunction in Paget’s disease of bone: Has medical treatment a vascular basis? J Bone Joint Surg 1981; 63B: 495–503.

    Google Scholar 

  10. Haddad JG, Kaplan FS: Paget’s disease of bone, in The CIBA Collection of Medical Illustrations, vol 8: Musculoskeletal System. Part I: Anatomy, Physiology, and Metabolic Disorders; Netter FH (illust). West Caldwell, NJ, Ciba-Geigy Corp, 1987; pp 236–238.

    Google Scholar 

  11. Siris ES, Canfield RE: Paget’s disease of bone: Current concepts as to its nature and management. Orthop Rev 1982; 11 (12): 43–49.

    Google Scholar 

  12. Dove J: Complete fractures of the femur in Paget’s disease of bone. J Bone Joint Surg 1980; 62B: 12–17.

    Google Scholar 

  13. Johnston CC, Altman RD, Canfield RE, et al: Review of fracture experience during treatment of Paget’s disease of bone with etidronate disodium (EHDP). Clin Orthop 1983; 172: 186–194.

    PubMed  Google Scholar 

  14. Meyers MH, Singer FR: Osteotomy for tibia vara in Paget’s disease under cover of calcitonin. J Bone Joint Surg 1978; 60A: 810–814.

    PubMed  CAS  Google Scholar 

  15. Cameron HU: Total knee replacement in Paget’s disease. Orthop Rev 1989; 18 (2): 206–208.

    PubMed  CAS  Google Scholar 

  16. Franck WA, Bress NM, Singer F, Krane SM: Rheumatic manifestations of Paget’s disease of bone. Am J Med 1974; 56: 592–603.

    Article  PubMed  CAS  Google Scholar 

  17. Hoppenfeld S: Physical Examination of the Spine and Extremities. Norwalk, CT, Appleton-Century-Crofts, 1976.

    Google Scholar 

  18. Lluberas-Acosta G, Hansell JR, Schumacher HR: Paget’s disease of bone in patients with gout. Arch Intern Med 1986; 146: 2389–2392.

    Article  PubMed  CAS  Google Scholar 

  19. McDonald DJ, Sim FH: Total hip arthroplasty in Paget’s disease: A follow-up note. J Bone Joint Surg 1987; 69A: 766–772.

    PubMed  CAS  Google Scholar 

  20. Merkow RL, Pellicci PM, Hely DP, Salvat EA: Total hip replacement for Paget’s disease of the hip. J Bone Joint Surg 1984; 66A: 752–758.

    PubMed  CAS  Google Scholar 

  21. Stauffer RN, Sim FH: Total hip arthroplasty in Paget’s disease of the hip. J Bone Joint Surg 1976; 58 (A): 476–478.

    PubMed  CAS  Google Scholar 

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Authors
  1. Frederick S. Kaplan
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Editor information

Editors and Affiliations

  1. UCLA School of Medicine, University of California at Los Angeles, USA

    Frederick R. Singer MD (Professor of Medicine in Residence, Director) (Professor of Medicine in Residence, Director)

  2. Bone Center, Cedars-Sinai Medical Center, 444 S. San Vicente Boulevard, 90048, Los Angeles, California, USA

    Frederick R. Singer MD (Professor of Medicine in Residence, Director) (Professor of Medicine in Residence, Director)

  3. Department of Internal Medicine, University of South Florida College of Medicine, 12901 North 30th Street, 33612-4799, Tampa, Florida, USA

    Stanley Wallach MD (Professor and Associate Chairman) (Professor and Associate Chairman)

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© 1991 Elsevier Science Publishing Co., Inc.

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Kaplan, F.S. (1991). Surgery in Paget’s Disease. In: Singer, F.R., Wallach, S. (eds) Paget’s Disease of Bone. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-2307-5_15

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  • DOI: https://doi.org/10.1007/978-1-4684-2307-5_15

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-2309-9

  • Online ISBN: 978-1-4684-2307-5

  • eBook Packages: Springer Book Archive

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