Revision of Sivash Endoprosthesis 41 Years after Primary Operation

2013 ◽  
Vol 20 (3) ◽  
pp. 69-73
Author(s):  
N. V Zagorodiy ◽  
V. I Nuzhdin ◽  
K. M Bukhtin ◽  
S. V Kagramanov

Clinical observation of a female patient who at the age of 16 underwent total hip replacement by Sivash implant due to congenital left hip dislocation is presented. The reason for revision intervention that was performed in 41 years after primary arthroplasty was the fracture of the implant stem. The stem was removed via 2 transfemoral approaches. Modular revision stem for distal fixarion was implanted. Treatment result is considered to be satisfactory: no pain is present and weight bearing ability is restored.

Author(s):  
Samuel P. Franklin ◽  
Nathan A. Miller ◽  
Todd Riecks

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.


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

Orthopedics ◽  
2008 ◽  
Vol 31 (3) ◽  
pp. 1-5 ◽  
Author(s):  
Charles J. Taunt ◽  
Henry Finn ◽  
Patricia Baumann

1999 ◽  
Vol 34 (1) ◽  
pp. 17 ◽  
Author(s):  
Chang Hyun Cho ◽  
Myung Chul Yoo ◽  
Yoon Je Cho ◽  
Yong Wook Lee ◽  
Hyung Gu Kwon

This chapter contains practice questions based on a broad range of orthopaedic topics that may be encountered within the ‘Adult Pathology’ station of the FRCS (Trauma and Orthopaedics) viva examination. The hip topics covered include: osteoarthritis, total hip replacement, avascular necrosis, hip arthrodesis, hip dislocation, and heterotopic ossification as well as other conditions.


2019 ◽  
Vol 47 (10) ◽  
pp. 4787-4797
Author(s):  
Yiran Lu ◽  
Zongming Wu ◽  
Xianzhong Tang ◽  
Mengzhen Gu ◽  
Bo Hou

Objective Artificial hip dislocation is one of the most serious complications following total hip replacement. This study was performed to assess articular capsule repair in primary total hip replacement with the anterolateral approach (Watson-Jones incision) and its effect on postoperative dislocation. Methods Patients who underwent primary total hip replacement by the anterolateral approach in Tongren Hospital of Shanghai Jiao Tong University School of Medicine from June 2007 to June 2014 were retrospectively analyzed. The patients were divided into the repair and dissection groups based on the articular capsule repair status during surgery. Postoperative dislocation rates were compared between the two groups using the chi-squared test. Results The repair and dissection groups comprised 137 and 248 patients, respectively. All patients were followed up for 6 months to 5 years (average, 3.75 years). The mean age, sex, disease composition, and follow-up time were not significantly different between the two groups. Early postoperative dislocation occurred in 1 hip (0.7%) in the repair group and 13 hips (5.2%) in the dissection group. Conclusions During the anterolateral approach for primary total hip replacement, articular capsule repair may reduce the occurrence of early postoperative dislocation of the hip joint.


Sign in / Sign up

Export Citation Format

Share Document