Primary total hip arthroplasty with a flattened press-fit acetabular component in osteoarthritis and inflammatory arthritis: a prospective study on 416 hips with 6–10 years follow-up

2008 ◽  
Vol 128 (12) ◽  
pp. 1379-1386 ◽  
Author(s):  
Rob E. Zwartelé ◽  
Paul G. M. Olsthoorn ◽  
Rudolf G. Pöll ◽  
Ronald Brand ◽  
H. Cornelis Doets
Keyword(s):  
Total Hip Arthroplasty ◽  
Prospective Study ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Inflammatory Arthritis ◽  
Total Hip ◽  
Press Fit ◽  
A Prospective Study ◽  
Primary Total Hip Arthroplasty

scholarly journals A prospective study on functional outcome of uncemented total hip arthroplasty in patients with inflammatory arthropathies

2020 ◽  
Vol 6 (3) ◽  
pp. 622
Author(s):  
Girish Marappa ◽  
Vishwanath Muttagaduru Shivalingappa ◽  
Nuthan Jagadeesh ◽  
Arjun Mandri
Keyword(s):  
Total Hip Arthroplasty ◽  
Prospective Study ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Inflammatory Arthritis ◽  
Posterolateral Approach ◽  
Harris Hip Score ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Although medical management has improved the outcome and may have reduced the need for surgery, total hip arthroplasty (THA) is often required to manage pain and restore function and mobility. The successful functional outcome of THA in patients with inflammatory arthropathies is essential in understanding the need for THA, and its benefits in those undergoing it. Objective of the study is to evaluate the functional outcome of total hip arthroplasty in patients suffering from inflammatory arthritis using Harris hip score (HHS) and to assess the post operative complication in these patients.</p><p class="abstract"><strong>Methods:</strong> In a prospective study conducted on patients with inflammatory arthritis treated with THA between a study period of January 2018 to January 2020. All the patients after assessing them clinically and radiologically were operated with uncemented THA through posterolateral approach. Functional outcomes of hip were evaluated using HHS at various intervals.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this study, patients were followed up to 24 months. About 46.7% of patients were diagnosed with rheumatoid arthritis, 33.3% of patients were diagnosed with ankylosing spondylitis, 20% of patients were diagnosed with sero negative arthritis. 90% of patients had no limb length discrepancy, no other post-operative complications were noted. The final functional outcome of hip according to HHS were 13.3% of excellent, 56.7% good results and 30% of fair results.</p><p class="abstract"><strong>Conclusions:</strong> This study concludes that THA in patients with inflammatory arthritis with restricted activities of life had improved in short term follow up and ease of rehabilitation and return to function.</p>

scholarly journals A Comparison between the Outcomes of Direct Anterior and Posterior Approaches for Rates of Dislocation and Infection in Primary Total Hip Arthroplasty

2020 ◽  
Vol 10 (1) ◽  
pp. 194-199
Author(s):  
Zohair M. Ahmed ◽  
Hamid A. Mahmud ◽  
Imad M. Rasul
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lower Incidence ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
Significant Difference ◽  
Lower Incidence Rate ◽  
A Prospective Study ◽  
Primary Total Hip Arthroplasty

Background: Direct anterior hip replacement is a slightly aggressive surgical procedure but potentially widespread. It involves opening on the front of the hip to allow the joint to be substituted by moving muscles aside along their ordinary tissue planes without removing any tendons. Nevertheless, there is diminutive consent concerning the threats and profits of this method compared to the posterior approach (PA) regarding the rates of dislocation and infection. Methods: This research is a prospective study conducted in Erbil city from September 2015 to September 2017 on 57 patients, including 28 females and 29 males, with primary total hip arthroplasty (THA). Twenty-nine patients were enrolled in the direct anterior approach (DAA: First group), and 28 patients were registered in the PA group (PA: Second group). Their age ranged between 49 and 80 years, and the regular follow-up was 12 months for all patients. Results: It was found that using the DAA, there was a significantly (P ≤ 0.05) lower incidence rate of dislocation in patients undergoing THA than the PA. No significant difference in the rates of infection was noticed between both groups. However, slightly shorter operational time and extent of the incision were noticed in the DAA group, and less blood loss was found in the PA group (non-significant). Conclusion: We realized that DAA has a clear advantage over PA regarding the lower incidence in the dislocation risk and without variance in the infection rates.

scholarly journals Role of Biplane Double Supported Screw Fixation For Fracture Neck Femur In Elderly Population: A Prospective Study

2018 ◽  
Vol 12 (1) ◽  
pp. 514-524
Author(s):  
Anoop Kalia ◽  
Jagdeep Singh ◽  
Nasir Ali
Keyword(s):  
Total Hip Arthroplasty ◽  
Prospective Study ◽  
Hip Arthroplasty ◽  
Screw Fixation ◽  
Harris Hip Score ◽  
Total Hip ◽  
Fracture Neck Femur ◽  
The Mean ◽  
A Prospective Study

Introduction: The treatment of fracture neck femur varies according to the age of patient, the displacement of fracture fragments and the duration of the fracture. Various treatment options available for elderly are screw fixation, hemiarthroplasty and total hip arthroplasty. Materials and Methods: This is a prospective study done at authors institutes between January 2014- December 2016. 30 patients aged more than 50 years who sustained fracture neck femur were included in the study. 3 patients were lost to follow up and 2 patients died due to medical comorbidities. Out of the 25 remaining patients, 17 were males and 8 were females and they were operated by the biplane double supported screw fixation method (BDSF TECHNIQUE) and were followed up for a period of two years. The final Harris Hip Score at the last follow up was calculated. Results: Out of the 25 patients, the union was achieved in all the patients. The mean duration of union was 10 weeks. 1 patient had progressive femoral head resorption due to chondrolysis resulting in antalgic gait and unbearable pain and underwent total hip arthroplasty. The mean harris hip score was 81.2 Conclusion: In elderly patients with osteoporosis and in those patients who can not afford arthroplasty or in those patients where arthroplasty is contraindicated, BDSF method is an alternate method for fixing fracture neck femur.

A New Additive-Manufactured Cementless Highly Porous Titanium Acetabular Cup for Primary Total Hip Arthroplasty—Early Two-Year Follow Up

2021 ◽  
Author(s):  
Mohammad Abdelaal ◽  
Ilan Small ◽  
Camilo Restrepo ◽  
William Hozack
Keyword(s):  
Additive Manufacturing ◽  
Total Hip Arthroplasty ◽  
Aseptic Loosening ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Porous Titanium ◽  
Total Hip ◽  
Highly Porous ◽  
Primary Total Hip Arthroplasty

Introduction: Additive-manufacturing technologies are increasingly being used, not only to create acetabular components with porous coating architecture very similar to the complex trabecular structure of cancellous bone, but also for producing the entire implant in a single step. The aim of this study is to assess two-year clinical and radiological outcomes of a new additive-manufactured cup in primary total hip arthroplasty (THA). Materials and Methods: We reviewed 266 primary THAs (254 patients) performed in our institution between December 2016 and December 2018 using a new highly porous titanium acetabulum shell fabricated via additive manufacturing. Clinical and functional outcomes were measured using SF/VR-12 and HOOS JR to determine patient satisfaction with surgery. Radiographs were assessed to determine the presence of migration, radiolucency, and loosening. Patients records were reviewed to assess cup survivorship in terms of all-cause revisions and revision for aseptic cup loosening. Results: At a minimum of two-year follow up (range: 2–3.45 years), the patient cohort demonstrated significant improvement in postoperative functional scores (hip disability and osteoarthritis outcome score for joint replacement [HOOS JR.] and clinical scores (12-item short-form health survey [SF/VR-12]) (p<0.001). One cup developed progressive radiolucent lines at the prosthesis-bone interface consistent with loosening and was revised. The overall acetabular component two-year survivorship free of all-cause failure was 97.4% (95% confidence interval [CI]: 95.5–99.4%). When aseptic loosening of the acetabular component was used as the failure endpoint, the two-years survivorship rate was 99.6% (95% CI: 98.9–100%). Conclusion: Highly porous titanium cementless acetabular cups produced via additive-manufacturing showed promising early clinical and radiological results in primary THA with low rates of aseptic loosening. Further follow-up studies are needed to assess the long-term survivorship and outcomes of this new acetabular component.

Sign in / Sign up

Export Citation Format

Share Document