scholarly journals The comparison of results in treating primary degenerative lesions of the hip joint using the cementless total hip arthroplasty method with the Corail and Fitmore stems

2021 ◽  
Vol 86 (1) ◽  
pp. 30-32
Author(s):  
Michał Urbaniak ◽  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Provincial Hospital ◽  
Cementless Total Hip Arthroplasty ◽  
Comparison Of Results ◽  
Before And After ◽  
Hip Replacements ◽  
Arthroplasty Surgery

The aim of this study is to clinically assess the results of a total hip arthroplasty surgery among patients with idiopathic hip degenerative lesions. These patients were treated using endoprosthesis with the standard Corail stem and the short Fitmore stem. The scope of this assessment includes surgeries carried out in the Provincial Hospital Complex in Kalisz in the Department of Orthopedics and Traumatology during years 2012-2015. In total, 64 patients with 70 endoprosthetics were analyzed (including 6 bilateral hip replacements). To assess the results before and after the treatment, both HHS and WOMAC scales were applied. The results achieved after the hip arthroplasty with both stem types were very similar and both produce good results for the patients. These results that are close to both Polish and international statistics.

Average Periosteal Stress of the Proximal Femur Before and After Cementless Total Hip Arthroplasty

2009 ◽  
Author(s):  
Joseph D. Yutzy ◽  
Erik R. Bardy
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Stress Shielding ◽  
Stress Distributions ◽  
Stress Concentrations ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty ◽  
Before And After ◽  
Hip Replacements ◽  
Neck Fracture

Cementless Total Hip Arthroplasty (THA) is a standard surgical technique for the treatment of several types of joint diseases and damages including, but not limited to, osteoarthritis and femoral neck fracture [1]. An estimated one half to one million total hip replacements are performed each year [2]. Two drawbacks to THA are (1): micromotions as a result of improper implant fit in the bone cavity [1], and (2): stress shielding due to unnatural stress concentrations near the implant [3]. The latter causes bone resorption in other areas found in the bone-implant interface [1]. Therefore, the geometry and size of the implant is a major factor in determining cortical stress distributions and stress shielding [4].

Estimation of hip joint loading during gait before and after total hip arthroplasty using a musculoskeletal modeling system

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e545-e546
Author(s):  
K. Hata ◽  
R. Kiyama ◽  
Y. Ishido ◽  
K. Yone ◽  
K. Fukudome ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Musculoskeletal Modeling ◽  
Joint Loading ◽  
Total Hip ◽  
Before And After

scholarly journals Long-term clinical and radiological outcome in patients with severe Legg-Calvé-Perthes disease after Chiari pelvic osteotomy: a mean of 14 years follow-up

2021 ◽  
pp. 112070002098815
Author(s):  
Dammerer Dietmar ◽  
Braito Matthias ◽  
Peter Ferlic ◽  
Kaufmann Gerhard ◽  
Juana Kosiol ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Pelvic Osteotomy ◽  
Perthes Disease ◽  
Total Hip ◽  
Joint Incongruence ◽  
Chiari Pelvic Osteotomy

Introduction: The Chiari pelvic osteotomy (CPO) has been recommended as a salvage procedure to improve head coverage in case of hip joint incongruence in paediatric hip disease. In this study, we aimed to assess the long-term results of CPO for severe Legg-Calvé-Perthes disease (LCPD). Methods: A total of 39 patients who underwent a CPO at our department between 1995 and 2010 were prospectively followed both radiologically (Stulberg classification) and clinically (Harris Hip Score [HHS], conversion into total hip arthroplasty). In this study, we retrospectively reviewed the cases of 12 hips (12 patients, 3 girls, 8 left hips) treated by CPO for severe LCPD (Catterall grade 3 or 4) with hip joint incongruence. Mean follow-up was 14.0 (range 7.6–21.3) years. Results: Mean age at surgery was 10.2 (range 8.2–17.8) years. Additional femoral osteotomy was performed in 8 patients. A good radiological result (Stulberg I or II) was achieved in 2 patients, a fair result (Stulberg III) in 4 patients, and a poor outcome (Stulberg IV or V) in 6 patients. Mean postoperative HHS averaged 93 (range 65–100) points. An excellent functional outcome (HHS 90–100 points) was achieved in 9 patients. No patient underwent total hip arthroplasty during follow-up. Postoperative limb-length discrepancy was found in 3 patients. Conclusions: CPO for severe LCPD with hip joint incongruence resulted in good long-term clinical outcome in about ⅔ of our patients after a mean of 14 years. Our results suggest that CPO can still be considered as a salvage joint-conserving procedure in this selected group of younger patients.

scholarly journals Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

2021 ◽  
Vol 10 (4) ◽  
pp. 621
Author(s):  
Franziska Leiss ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
Jan Reinhard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

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