scholarly journals Revision Total Hip Replacement: A Case Report

2013 ◽  
Vol 1 (2) ◽  
pp. 58-61
Author(s):  
Md Hafizur Rahman ◽  
Md Mohoshin Sarker ◽  
Md Abdul Matin
Keyword(s):  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Tertiary Care ◽  
Bipolar Hemiarthroplasty ◽  
Care Hospital ◽  
Left Femur ◽  
Total Hip ◽  
History Of ◽  
Revision Total Hip Replacement

Total hip replacement is a reconstructive procedure that has improved the management of those diseases of the hip joint that have responded poorly to conventional medical therapy. Conventional, primary total hip replacement is a durable operation in the majority of patients. A hip replacement is a mechanical device with parts that are assembled before and during the operation. But the possible complications of total hip arthroplasty, and its clinical performance over time, is a challenging occasion to the surgeons, and such a challenge we faced with our presenting patient. A 68 year old lady with history of cemented bipolar hemiarthroplasty done in a tertiary care hospital, due to fracture neck of the left femur having the history of diabetes, chronic kidney disease, heart disease, anaemia, and mental disorders presented with loosened prosthesis, thinning of medial proximal cortex of the femur which had broken within few months after surgery. She complained of painful walking at left hip joint. There was also evidence of chronic infective and degenerative arthritis of acetabular component of the affected hip joint. Cemented revision total hip replacement surgery was performed with expert multidisciplinary involvement. On 2nd postoperative day the patient was allowed to walk on operated limb with the aid of walker. On 12th postoperative day all the stitches were removed and wound was found healthy. DOI: http://dx.doi.org/10.3329/dmcj.v1i2.15920 Delta Med Col J. Jul 2013;1(2):58-61

scholarly journals A three year prospective study of functional and clinical outcomes of total hip replacement at a tertiary care hospital

2020 ◽  
Vol 6 (2) ◽  
pp. 308
Author(s):  
Addanki Vijayanand ◽  
Narreddy Jayasomeswar
Keyword(s):  
Prospective Study ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Tertiary Care ◽  
The Body ◽  
Laboratory Evaluation ◽  
Care Hospital ◽  
Total Hip

<p class="abstract"><strong>Background:</strong> Hip joint is a crucial joint in the body whose function is essential for normal daily activities. Osteoarthritis of the hip cripples the daily functional capacity and total hip arthroplasty is considered to relieve the pain and increase the quality of life among these patients. The objective of present study was to assess the clinical and functional outcome in total hip replacement patients in terms of early joint function and stability of the hip joint and also to assess complications of procedures.</p><p class="abstract"><strong>Methods:</strong> A three-year prospective study was conducted on 58 cases that fulfilled the inclusion criteria. Ethical approval and consent were obtained for the study. Standard clinical and laboratory evaluation was performed on all the cases and the data was noted in Microsoft excel sheet and analyzed. Modified Harris hip scoring was done pre operatively and postoperatively and follow-up was done at discharge, 4<sup>th</sup> week, 6 months and one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> Surgery was performed on 58 cases with age range 34-73 years and a mean of 43.58 years. Avascular necrosis was the main indication (55.2%). Maximum patient follow-up was 38 weeks. The mean preoperative score was 41.04 with minimum score being 10 and maximum being 76, postoperative score was 99.63 with minimum 64 and maximum was 109. Statistical significance was observed between preoperative and postoperative scores with regard to the parameters of pain, gait, functional activity and range of motion. Anterior thigh pain was the common postoperative complaint (15.5%).</p><p class="abstract"><strong>Conclusions:</strong> In conclusion, total hip replacement gives good clinical and functional outcomes. However, the outcomes are influenced by multiple factors which include indication for surgery, age of the cases, and type of prosthesis, operative technique and post-operative follow up.</p><p class="abstract"> </p>

scholarly journals Complications in Hip Arthroplasty

2011 ◽  
Vol 18 (3) ◽  
pp. 59-63 ◽  
Author(s):  
Aleksandr Borisovich Slobodskoy ◽  
E Yu Osintsev ◽  
A G Lezhnev ◽  
A B Slobodskoi ◽  
E Yu Osintsev ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Joint Arthroplasty ◽  
Total Hip ◽  
Inflammatory Processes ◽  
History Of ◽  
Revision Total Hip Replacement ◽  
Joint Arthroplasties

Experience in follow up of 1399 patients after 1603 hip joint arthroplasties is presented. Bilateral operations were performed in 102 patients. In 111 patients revision total hip replacement was performed. Age of patients ranged from 18 to 94 years. Different complications were present in 4,3% of cases: pyo-inflammatory - in 1,37%, implant head dislocation - 1,93%, periprosthetic fractures - 0,19%, postoperative neuritis - 0,49% and pulmonary thrombosis - in 0,31% of cases. Elderly and senile patients, severe concomitant pathology (diabetes mellitus, rheumatoid arthritis and other systemic diseases), acute proximal femur injury, earlier operated dysplastic coxarthrosis, revision and complicated total hip replacement, history of pyo-inflammatory processes in the zone of hip joint are to be considered as risk factors to complication development. Scale for complications prognosis in hip joint arthroplasty is presented.

Psoriasis Vulgaris Caused by Ceramic Inserts Used in Total Hip Replacement

2012 ◽  
Vol 16 (6) ◽  
pp. 448-450 ◽  
Author(s):  
Fujio Higuchi ◽  
Daisuke Tsuruta ◽  
Yumiko Ishibashi ◽  
Kazuko Imamura ◽  
Tokiko Shimoyama ◽  
...  
Keyword(s):  
Nous Avons ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Nuclear Factor Κb ◽  
Total Hip ◽  
First Case ◽  
The Right ◽  
Ceramic Insert ◽  
Psoriatic Lesions

Background: Ceramics are inorganic nonmetallic materials and are used as bioinert components in joint replacement surgeries. Ceramics are known to be low allergenic. We experienced a ceramic-induced psoriasis. Objective: We report a first case of possible ceramic-induced psoriasis caused by a ceramic insert. Methods: A 55-year-old female received an implanted ceramic-on-ceramic total hip replacement for osteoarthritis of the right hip joint. Following surgery, she developed psoriatic lesions, which continued for 10 years. We suspected that psoriasis was caused by a ceramic insert and removed it surgically. Results: When the ceramic insert was replaced with a polyethylene-on-metal hip joint, the psoriatic lesions completely disappeared. Conclusion: The pathogenesis of psoriasis is still an enigma, although deregulation of nuclear factor κB signaling and resulting abnormal cytokine secretion are speculated to be involved. Ceramics may affect these signaling events and cause the onset of psoriasis. Renseignements de base: Les céramiques sont des matériaux non métalliques inorganiques et sont utilisées comme composants bio-inertes dans les arthroplasties. Les céramiques sont reconnues pour être peu allergisantes. Nous avons observé un psoriasis provoqué par la céramique. Objectif: Nous exposons un premier cas possible de psoriasis provoqué par la céramique causé par un implant en céramique. Méthodes: Une femme de 55 ans a reçu une prothèse céramique-sur-céramique implantée lors d'une arthroplastie totale de la hanche pour traiter l'arthrose de l'articulation de la hanche droite. Après la chirurgie, elle a développé des lésions psoriasiques dont la manifestation s'est poursuivie pendant 10 ans. Nous avons soupçonné que le psoriasis était causé par l'implant en céramique, et nous l'avons enlevé chirurgicalement. Résultats: Une fois l'implant en céramique remplacé par une prothèse articulaire en polyéthylène-sur-métal, les lésions psoriasiques ont disparu complètement. Conclusion: La pathogenèse du psoriasis demeure une énigme, bien qu'on suppose que la dérégulation de la voie de signalisation NF-κB et que la sécrétion anormale de cytokines résultante soient impliquées. Les céramiques peuvent affecter ces événements de signalisation et provoquer l'apparition du psoriasis.

Re-cementing in Revision Total Hip Replacement

2012 ◽  
pp. 131-139
Author(s):  
Sarah L. Whitehouse ◽  
Matt Wilson ◽  
Jonathan R. Howell ◽  
Matthew J. W. Hubble ◽  
A. John Timperley
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Revision Total Hip Replacement
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