Complications with the Zurich Canine Total Hip Replacement System in an Initial Series of Cases Performed by a Single Surgeon

2021 ◽  
Author(s):  
Samuel P. Franklin ◽  
Nathan A. Miller ◽  
Todd Riecks
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Weight Bearing ◽  
Normal Function ◽  
High Rate ◽  
Total Hip ◽  
Initial Series ◽  
Major Complications ◽  
Hip Replacements ◽  
Replacement System

Abstract Objective The aim of this study was to quantify the complications using the Zurich total hip replacement system in an initial series of cases performed by a single surgeon who had experience with other total hip replacement systems. Materials and Methods This was a retrospective study in which complications were classified as major if any treatment was needed or if the outcome was less than near-normal function. Complications that did not warrant treatment and that did not result in function that was inferior to near-normal were considered minor. Outcomes were assessed by radiographic review, physical examination, subjective gait evaluation or, in one case, by objective gait analysis. Bilateral total hip replacements were considered separate procedures. Results The first 21 procedures in 19 dogs performed by a single surgeon were included. The mean time to follow-up was 48 weeks (range: 8–120 weeks; standard deviation: 36 weeks). Two cases (of 21) experienced major complications including one dog with excess internal femoral rotation during weight bearing and one dog having luxation. One case (of 21) had a minor complication; femoral fracture in the presence of an intact bone plate that maintained alignment and healed without treatment. Clinical Significance A high rate of successful outcomes with few major complications can be obtained in the initial cases treated using the Zurich total hip replacement system for surgeons with prior experience with other total hip replacement systems.

scholarly journals Full weight bearing after non-cemented total hip replacement is compatible with satisfactory results

2003 ◽  
Vol 27 (2) ◽  
pp. 94-97 ◽  
Author(s):  
Y. K. Chan ◽  
K. Y. Chiu ◽  
D. K. H. Yip ◽  
T. P. Ng ◽  
W. M. Tang
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Weight Bearing ◽  
Full Weight Bearing ◽  
Total Hip

The complex primary total hip replacement

2011 ◽  
Author(s):  
James Donaldson ◽  
Richard Carrington
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Walking Ability ◽  
Careful Evaluation ◽  
Screening Programs ◽  
Total Hip ◽  
Number Of Patients ◽  
Hip Replacements

♦ Hip Dysplasia• Despite screening programs, a large number of patients are affected by dysplastic hips and their sequelae• An understanding of anatomical abnormalities is crucial• Appropriate techniques and implants make arthroplasty feasible• Complications are significantly higher than standard primary hip replacements♦ Protrusio Acetabuli• Technical difficulties include inadequate medial wall and restoring offset, hip centre and leg lengths• Neck may need to be cut in-situ; bone graft is usually necessary and ideally should be taken from the femoral head• Antiprotrusio cages or custom implants may be needed in cases with excessive bone loss♦ Arthrodesed hip to total hip replacement• Careful evaluation of the gluteal muscles is mandatory and predicts final walking ability and patient satisfaction• Long-term effectiveness of total hip replacement in ankylosed hips is satisfactory but there is a higher complication rate

THREE-DIMENSIONAL MORPHOMETRY OF NATIVE ACETABULUM IN RELATION TO DESIGN AND IMPLANTATION OF CANINE TOTAL HIP REPLACEMENTS

2012 ◽  
Vol 24 (06) ◽  
pp. 549-555 ◽  
Author(s):  
Ching-Ho Wu ◽  
Cheng-Chung Lin ◽  
Tung-Wu Lu ◽  
Lih-Seng Yeh
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Quantitative Data ◽  
Three Dimensional ◽  
Morphological Parameters ◽  
3D Ct ◽  
Total Hip ◽  
Acetabular Orientation ◽  
Total Hip Replacements ◽  
Hip Replacements

Total hip replacement (THR) has been one of the main choices in treating dysplasia and other disabling conditions of the coxofemoral joint of large-breed dogs. Quantitative data of the three-dimensional (3D) morphology of the native normal acetabulum will be helpful for better design and implantation of prosthetic components. However, 3D orientation and morphological parameters of the native acetabulum in large-breed dogs are rarely reported. The purposes of the study were to measure the values of the 3D morphological parameters of the native acetabulum in Labrador Retriever dogs, namely acetabular orientation in relation to the pelvis, as well as the radius, angle between ventral and dorsal rims, and the distance from the center to the dorsal rim of the acetabulum using a 3D CT-derived model. The data will be useful for developing a more accurate guideline for improving current THR designs and for more accurate placement of the acetabulum component during THR surgery.

scholarly journals Favourable clinical outcomes following cemented arthroplasty after metal-on-metal total hip replacement: a retrospective study with a mean follow-up of 10 years

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Weiguang Yu ◽  
Meiji Chen ◽  
Xianshang Zeng ◽  
Mingdong Zhao ◽  
Xinchao Zhang ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Recurrent Dislocation ◽  
High Rate ◽  
Functional Score ◽  
Long Term Outcomes ◽  
Total Hip ◽  
Metal On Metal

Abstract Background Given the unexpected high rate of failure following metal-on-metal total hip replacement (MoM-THR), it is expected that more MoM-THR patients will experience revision. The long-term outcomes regarding the primary MoM-THR revised to cemented THR (CTHR) remain controversial. The purpose of this retrospective review was to evaluate the long-term outcomes of patients who underwent conversion from MoM-THR to CTHR. Methods A total of 220 patients (220 hips) who underwent a conversion of primary MoM-THR to CTHR from March 2006 to October 2016 were retrospectively reviewed. The primary outcomes were the functional outcomes assessed using the Harris hip scores (HHS) and major radiographic outcomes. Follow-ups occurred at 3 months, 6 months, 1 year, 2 years, and then every two years after revision. Results Mean follow-up was 10.1 years (5–13 years). Distinct improvements were detected in the mean HHS between the preoperative and last follow-up analysis (62.35[±8.49] vs. 84.70[±14.68], respectively, p < 0.001). The key orthopaedic complication rate was 18.2% (27/148). Seven (4.7%) cases experienced a CTHR failure at a mean of 3.4 (±1.2) years after revision MoM-THR, mostly attributed to recurrent dislocation. Conclusion CTHR might yield an acceptable functional score and a low rate of the key orthopaedic complications.

Comparison of functional outcome of cemented total hip replacement versus cemented dual-mobility cup total hip replacement for the management of displaced femoral neck fractures in the active elderly patients

2020 ◽  
pp. 112070002091041 ◽  
Author(s):  
Ramy A M Rashed ◽  
Hannah Sevenoaks ◽  
Qaisar A Choudry ◽  
Mohammed S Kasem ◽  
Tarek A Elkhadrawe ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Range Of Motion ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Dual Mobility ◽  
Total Hip ◽  
Displaced Femoral Neck Fractures ◽  
Hip Replacements

Introduction: Current guidelines recommend treating displaced femoral neck fractures with a total hip replacement in fit and active elderly patients. Dislocation remains the main complication. Dual-mobility cup (DMC) hip replacements maybe a solution to decrease dislocation, with the benefit of increasing stability, achieving better range of motion and functional outcomes. Patients and methods: This is a prospective randomised controlled trial which included 62 patients with Garden III and IV femoral neck fractures. The mean age was 67.2 years. 30 males and 32 females were included, randomised and allocated to 2 treatment groups; a cemented DMC replacement group, or a cemented 32-mm head total hip replacement (THR). The posterior approach was used in all patients. Postoperative functional outcome was assessed using Harris Hip Score (HHS). Health-related quality of life (HRQoL) was assessed using the SF-36 questionnaire. Results: The mean HHS for the DMC group at 4, 6 and 12 months were higher than mean HHS scores for the THR group ( p < 0.001). The range of motion at 1 year was statistically better in the DMC group compared to the THR group ( p < 0.001). The DMC showed a statistically better effect on the HRQoL measurements as compared to the THR group. There were no dislocations in both groups. Conclusions: DMC hip replacements provide better functional, patient reported outcomes, and range of motion than the conventional THR. Combined with its stability, DMC replacements are a useful solution in managing femoral neck fractures in active elderly patients. Trial serial number 020841 (IRB Number 00007555).

Immediate Weight Bearing After Cementless Total Hip Replacement

Orthopedics ◽  
2008 ◽  
Vol 31 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Charles J. Taunt ◽  
Henry Finn ◽  
Patricia Baumann
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Weight Bearing ◽  
Total Hip ◽  
Cementless Total Hip Replacement

Outcomes of Total Hip Replacement in Limbs Affected by Poliomyelitis

2016 ◽  
Vol 27 (2) ◽  
pp. 198-204
Author(s):  
Cesare Faldini ◽  
Marcello De Fine ◽  
Alberto Di Martino ◽  
Daniele Fabbri ◽  
Raffaele Borghi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Osteoarthritis ◽  
Lateral Approach ◽  
Harris Hip Score ◽  
Total Hip ◽  
Hip Replacements ◽  
Hip Diseases

Introduction The outcomes of total hip replacement in patients suffering from residual poliomyelitis are poorly covered in the literature. In this retrospective study we posed the question of whether total hip replacement performed for degenerative hip diseases in limbs with residual poliomyelitis could determine satisfactory mid-term clinical and radiographic results, with a reasonable complication rate. Methods A retrospective study was carried out to assess the results of 14 total hip replacements performed on 14 patients with residual poliomyelitis on the involved limb from June 1999 to September 2011. Average age at the time of surgery was 51 years (range 26-66 years). Mean duration of follow-up was 92 months (range 52-156 months). Surgery was performed through a direct lateral approach on all hips. All but one were cementless implants. Results 2 implants failed, 1 due to traumatic acetabular fracture 6 days after surgery, and 1 due to aseptic cup loosening 13 years after surgery. Surgery was uneventful in all patients except 1 (7%), who experienced a transient sensory sciatic nerve palsy. At the latest follow up Harris Hip Score was 83.3 (range 72-91) with a marked improvement when compared to preoperative score (average 52, range 32-78). No dislocations had occurred. Conclusions Total hip replacement can be considered a feasible option for hip osteoarthritis in patients with limbs affected by residual poliomyelitis. Longer follow-up studies are needed to assess the effectiveness of unconstrained total hip replacement in polio patients.

Sign in / Sign up

Export Citation Format

Share Document