Total hip arthroplasty for fused hips: clinical and radiological outcome

2017 ◽  
Vol 52 (3) ◽  
pp. 230
Author(s):  
Mohamed Abo-Elsoud ◽  
Fouad Sadek
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Radiological Outcome ◽  
Total Hip ◽  
Clinical And Radiological Outcome

Survival, Clinical and Radiological Outcome of the Zweymüller SL/Bicon-Plus Total Hip Arthroplasty: A 15-Year Follow-up Study

2015 ◽  
Vol 25 (3) ◽  
pp. 204-208 ◽  
Author(s):  
Karsten Ottink ◽  
Lex Barnaart ◽  
Robin Westerbeek ◽  
Karin van Kampen ◽  
Sjoerd Bulstra ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Radiological Outcome ◽  
Total Hip ◽  
Follow Up Study ◽  
Clinical And Radiological Outcome

scholarly journals The influence of bone quality on radiological outcome in 50 consecutive acetabular fractures treated with a pre-contoured anatomic suprapectineal plate

2021 ◽  
Author(s):  
Maximilian J. Hartel ◽  
Tareq Naji ◽  
Florian Fensky ◽  
Frank O. Henes ◽  
Darius M. Thiesen ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Bone Mass ◽  
Bone Quality ◽  
Hip Arthroplasty ◽  
Mass Density ◽  
Acetabular Fractures ◽  
Bone Mass Density ◽  
Radiological Outcome ◽  
Total Hip ◽  
The Impact

Abstract Purpose To investigate the range of indications of an anatomical-preshaped three-dimensional suprapectineal plate and to assess the impact of the bone mass density on radiologic outcomes in different types of acetabular fractures. Patients and methods A consecutive case series of 50 acetabular fractures (patient age 69 ± 23 years) treated with suprapectineal anatomic plates were analyzed in a retrospective study. The analysis included: Mechanism of injury, fracture pattern, surgical approach, need for additional total hip arthroplasty, intra- or postoperative complications, as well as bone mass density and radiological outcome on postoperative computed tomography. Results Most frequently, anterior column fracture patterns with and without hemitransverse components as well as associated two column fractures were encountered. The anterior intrapelvic approach (AIP) was used in 98% (49/50) of the cases as primary approach with additional utilization of the first window of the ilioinguinal approach in 13/50 cases (26%). Determination of bone density revealed impaired bone quality in 70% (31/44). Postoperative steps and gaps were significantly greater in this subgroup (p < 0.05). Fracture reduction quality for postoperative steps revealed anatomic results in 92% if the bone quality was normal and in 46% if impaired (p < 0.05). In seven cases (14%), the plate was utilized in combination with acute primary arthroplasty. Conclusion A preshaped suprapectineal plate provides good radiological outcomes in a variety of indications in a predominantly geriatric cohort. Impaired bone quality has a significantly higher risk of poor reduction results. In cases with extensive joint destruction, the combination with total hip arthroplasty was a valuable option.

scholarly journals Evaluation of results of primary cementless total hip arthroplasty in osteoarthritis

2017 ◽  
Vol 4 (2) ◽  
pp. 612
Author(s):  
Arshad Bashir ◽  
Qazi Manan ◽  
Faisal Younis Shah ◽  
Hayat Ahmad Khan ◽  
Mohammad Iqbal Wani ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Functional Disability ◽  
Tertiary Care ◽  
Hip Osteoarthritis ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty ◽  
Radiographic Outcomes ◽  
Clinical And Radiological Outcome

Background: Total hip arthroplasty involves removal of diseased bone and soft tissue from both femoral and acetabular side and replacing it with mechanical components. It is one of the most successful surgical procedures. It relieves pain and functional disability experienced by patients with moderate to severe osteoarthritis of the hip, improving their quality of life. The success of THA is its ability to relieve the pain, while maintaining both mobility and stability of the joint. The purpose of this study was to evaluate the results of primary cementless total hip arthroplasty in patients with hip osteoarthritis.Methods: This study was done in a tertiary care teaching hospital. Thirty patients with hip osteoarthritis who were treated with cementless total hip arthroplasty were included in the study. This was a prospective study with a minimum of 12 months follow up (maximum of 25 months). The patients’ pre-operative and post-operative pain and functional status was compared using Harris hip score.Results: Excellent or good pain relief and function was obtained in 83.33% of cases. The mean total pre-operative Harris Hip Score was 32.93 which improved to 88.967 post-operatively. There was a statistically significant improvement in all parameters except absence of deformity. The most common complication was persistent anterior thigh pain that occurred in two patients.Conclusions: Our study suggests that the current generation of cementless implants provide satisfactory clinical and radiographic outcomes. Though the study was not free of complications, the overall clinical and radiological outcome showed encouraging results.

scholarly journals Short-Term Results with a Constrained Acetabular Liner in Patients at High Risk of Dislocation after Primary Total Hip Arthroplasty

2016 ◽  
Vol 26 (6) ◽  
pp. 580-584 ◽  
Author(s):  
Kathryn Gill ◽  
Sarah L. Whitehouse ◽  
Matthew J.W. Hubble ◽  
Matthew J. Wilson
Keyword(s):  
High Risk ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Liner ◽  
Total Hip ◽  
High Risk Patients ◽  
Clinical And Radiological Outcome ◽  
Risk Patients ◽  
Component Loosening ◽  
Primary Total Hip Arthroplasty

Background Dislocation following primary total hip arthroplasty (THA) is a complication with an incidence of 2%-5%. This study examines the clinical and radiological outcome of a constrained acetabular implant used in primary THA in high-risk patients to prevent dislocation. Methods 54 patients with 55 constrained implants for primary THA were reviewed clinically and radiologically. Oxford, Harris Hip and Charlson scores were recorded. Results 54 patients, with an average age of 83.2 years, were followed up at a mean of 44.9 (20-74) months. 38 had an hydroxyapatite- (HA) coated acetabular shell with a constrained insert and 17 had a cemented constrained implant. The median Charlson score at surgery was 5 (4-10). There were significant improvements in Oxford, Harris hip pain and function scores and Charnley pain after surgery. 2 patients had radiolucent lines on the most recent radiograph. Neither was symptomatic and the acetabular components had not migrated. 3 patients developed postoperative infection, 1 deep requiring a 2-stage revision. Of the 29 patients who died, 1 required revision 2 months following surgery for dislocation of the constrained liner. This patient died 26 months later from unrelated causes having had no further complications from her surgery. There have been no further revisions or reoperations for dislocation in any of the other cases. Conclusions The use of a constrained acetabular liner at primary THA in high risk patients for dislocation can successfully prevent this complication without increasing component loosening. In this series of 55 constrained implants we have a postoperative dislocation rate of 1.8%.

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