Arthrodesis of the Hip and Conversion to Total Hip Arthroplasty

Jain, Sameer; Giannoudis, Peter V.

doi:10.1016/j.arth.2013.01.025

Cited by 41 publications

(38 citation statements)

References 29 publications

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“…This corroborates with our results, since back pain decreased in 62% of patients and knee pain in 42%. Regarding pain and function in the surgically treated hip: the literature shows that 79-85% of hips were pain free or with minimal pain [1][2][3]. In our study, pain relief was obtained for 91% of hips, with a possible role of optimal femoral offset, hip versions and leg-length restoration allowed by our individual prosthetic design.…”

Section: Discussionmentioning

confidence: 50%

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Long-term results of custom cementless-stem total hip arthroplasty performed in hip fusion

Flécher

Ollivier

Maman

et al. 2018

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 50%

“…Fused-hip conversion to total hip arthroplasty (THA) provides reasonable results, improving function and reducing pain [1][2][3]. However, the overall success and functional improvement following this procedure remain controversial compared with a conventional THA [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Long-term results of custom cementless-stem total hip arthroplasty performed in hip fusion

Flécher

Ollivier

Maman

et al. 2018

International Orthopaedics (SICOT)

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“…Of the most commonly used techniques, EF was associated with the lowest re-infection rates with no recurrence seen in 4 studies [73-75, 97] and recurrence rates ranging from 14 - 17.7% in 3 other studies [79, 78, 80]. On the other hand, re-infection rates ranged from 3 - 28.6% for IMNs.…”

Section: Complicationsmentioning

confidence: 98%

“…[97] carried out a systematic review on the outcomes of conversion of hip arthrodesis to THR. They found that this procedure results in “unacceptably high complication rates” when compared to arthrodesis.…”

Section: Secondary Proceduresmentioning

confidence: 99%

“…They found that this procedure results in “unacceptably high complication rates” when compared to arthrodesis. Complication rates reached 54% and included infection, mechanical failure and nerve palsy [97]. When converting knee arthrodesis to TKR, the main hurdle is soft tissue fibrosis and tension limiting the range of movement of the new implant.…”

Section: Secondary Proceduresmentioning

confidence: 99%

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Salvage Procedures for Management of Prosthetic Joint Infection After Hip and Knee Replacements

Mahmoud¹,

Sukeik²,

Alazzawi³

et al. 2016

TOORTHJ

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Background:The increasing load placed by joint replacement surgery on health care systems makes infection, even with the lowest rates, a serious concern that needs to be thoroughly studied and addressed using all possible measures.Methods:A comprehensive review of the current literature on salvage procedures for recurrent PJIs using PubMed, EMBASE and CINAHL has been conducted.Results:Prolonged suppressive antibiotic therapy (PSAT), resection arthroplasty and arthrodesis were the most common procedures performed. Suppressive antibiotic therapy is based on the use of well tolerated long term antibiotics in controlling sensitive organisms. Resection arthroplasty which should be reserved as a last resort provided more predictable outcomes in the hip whereas arthrodesis was associated with better outcomes in the knee. Various methods for arthrodesis including internal and external fixation have been described.Conclusion:Despite good union and infection control rates, all methods were associated with complications occasionally requiring further surgical interventions.

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Midterm outcomes of total hip arthroplasty after internal hemipelvectomy and iliofemoral arthrodesis

Dittman,

Houdek,

Rose

et al. 2023

Journal of Surgical Oncology

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Background and ObjectivesRecent studies have reported acceptable outcomes after arthrodesis takedown and conversion to total hip arthroplasty (THA); however, there are no reports on outcomes after oncologic resection, which are inherently complex and may portend poorer outcomes. The purpose of this study was to examine the surgical and functional outcomes of patients who underwent prior hemipelvectomy for tumor resection and were later converted to THA.MethodsAll patients who had prior iliofemoral arthrodesis after oncologic resection that were later converted to THA at a single institution were examined. Charts were reviewed for demographic information, operative information, functional outcomes, and complications/reoperations.ResultsAll three patients in this study were males who underwent internal hemipelvectomies for chondrosarcoma. Patients were converted to THA at a mean of 26 years after arthrodesis. Mean follow‐up after conversion to THA was 7.4 years. During this follow‐up period, two of the three patients required revision surgery. At last follow‐up, the mean Harris Hip Score was 81 and the mean Mayo Hip Score was 67, and all patients were ambulatory without significant pain.ConclusionsOverall, patients who undergo iliofemoral arthrodesis after oncologic hemipelvectomy and are later converted to THA can expect to have a reasonable outcome, despite a high rate of complications and revision surgery.

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Arthrodesis of the Hip and Conversion to Total Hip Arthroplasty

Cited by 41 publications

References 29 publications

Long-term results of custom cementless-stem total hip arthroplasty performed in hip fusion

Long-term results of custom cementless-stem total hip arthroplasty performed in hip fusion

Salvage Procedures for Management of Prosthetic Joint Infection After Hip and Knee Replacements

Midterm outcomes of total hip arthroplasty after internal hemipelvectomy and iliofemoral arthrodesis

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