Third-Generation Ceramic-On-Ceramic Total Hip Arthroplasty in Patients Younger Than 30 Years with Osteonecrosis of Femoral Head

2012 ◽  
Vol 27 (7) ◽  
pp. 1337-1343 ◽  
Author(s):  
Jae-Wook Byun ◽  
Taek-Rim Yoon ◽  
Kyung-Soon Park ◽  
Jong-Keun Seon
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hong Seok Kim ◽  
Jung Wee Park ◽  
Joo Hyung Ha ◽  
Young-Kyun Lee ◽  
Yong-Chan Ha ◽  
...  

Author(s):  
Mohmad Nawaz Rather ◽  
Wajahat Ahmad Mir ◽  
Shahid Shabir Khan ◽  
Naseer Ahmad Mir ◽  
Nadeem Ali

<p class="abstract"><strong>Background:</strong> Osteonecrosis of femoral head (ONFH) is characterised by cell death in the subchondral bone caused by abnormalities of blood flow to the femoral head. About 5% to 13% of arthroplasties are performed yearly for ONFH in United States. Ficat and Arlet classification is the commonest system used for grading of ONFH. Advanced stages 3 and 4 are best managed with total hip arthroplasty (THA). THA restores hip range of movement and allows early ambulation in ONFH.</p><p class="abstract"><strong>Methods:</strong> After seeking approval from local institutional ethical committee 25 patients with stage 3 and stage 4 ONFH (Ficat and Arlet) were admitted from OPD of SKIMS MC and Hospital Bemina, Srinagar. The study was conducted from February 2018 to February 2020 in department of Orthopaedics SKIMS MC and Hospital Bemina, Srinagar.  25 patients with mean age of 50.64 years comprising of 13 females and 12 males with unilateral osteonecrosis of femoral head with collapsed head underwent uncemented total hip arthroplasty and were followed up to a minimum of 1 year post-operatively.<strong></strong></p><p class="abstract"><strong>Results:</strong> Outcome was evaluated by comparing pre-operative and post-operative Harris hip scores. The average Harris hip scores improved from 65.87 in the pre-operative group to 96.54 at 1-year follow-up post-operatively. Marked improvement was noted in pain scores. No revisions were performed during the study. One patient developed superficial surgical site infection which healed with supervised dressings and oral antibiotics.</p><p class="abstract"><strong>Conclusions:</strong> Uncemented THA has excellent short-term outcomes in advanced stages of ONFH. It provides mobile hip joint and pain free ambulation shortly after surgery.</p>


2006 ◽  
Vol 21 (7) ◽  
pp. 1072-1073 ◽  
Author(s):  
Manuel Malillos Torán ◽  
Jorge Cuenca ◽  
Ángel Antonio Martinez ◽  
Antonio Herrera ◽  
Javier Vicente Thomas

2009 ◽  
Vol 24 (8) ◽  
pp. 1231-1235 ◽  
Author(s):  
Jun-Dong Chang ◽  
Rutuj Kamdar ◽  
Je-Hyun Yoo ◽  
Mina Hur ◽  
Sang-Soo Lee

2012 ◽  
Vol 27 (6) ◽  
pp. 909-915 ◽  
Author(s):  
Rehan-Ul Haq ◽  
Kyung Soon Park ◽  
Jong Keun Seon ◽  
Taek Rim Yoon

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Timothy McTighe

Modular femoral heads have been used successfully since the mid-1980s in total hip arthroplasty. The use of metallic modular junctions presents a unique set of advantages and problems for use in total hip arthroplasty (THA). The separation of the head from the stem by a Morse taper has provided many benefits on the precision and balancing the reconstructed joint. Historically few complications have been reported for the modular Morse taper connection between the femoral head and trunnion of the stem in metal-on-polyethylene bearings. However, the risks or concerns are a little harder to identify and deal with. Certainly corrosion, and fatigue failure are the two most prevalent concerns but now the specifics of fretting wear and corrosive wear increasing particulate debris and the potential biological response is having an impact on the design and potential longevity of the reconstructed hip. This paper is dealing with a simpler consequence of head/stem modularity. Modular head mismatch to the socket bearing articulation.Two patients by two different surgeons at two different hospitals underwent cementless THA. Both patients were female and both presented with degenerative changes to the hip articulation. Both patients underwent hip replacement via a direct anterior approach using a standard hemispherical porous coated shell. One patient had a ceramic on ceramic bearing and the other had a ceramic head on a polyethylene liner. Both patients had a 32 mm inside diameter liner implanted and both had a 36 mm ceramic femoral head. The ceramic on ceramic mismatch was not recognized until the second office visit at eight weeks. The ceramic poly mismatch was not recognized until first office visit at six weeks. Both underwent correction surgery.These two cases demonstrate human mistakes can be made and steps need to be established to prevent future mistakes of this nature.


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