Evaluation of two surgical techniques for acetabular reconstruction in total hip replacement for congenital hip disease

Hartofilakidis, George; Georgiades, George; Babis, George C.; Yiannakopoulos, Christos K.

doi:10.1302/0301-620x.90b6.20490

Cited by 33 publications

(30 citation statements)

References 41 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Fixation of a HAP cup remains difficult in dysplasia even when the surgeon uses screws and a small cup; and this is true whatever the age of the patient. High rates of loosening have been reported in patients who had developmental dysplasia [5,27,41,44,48] and in patients who had rheumatoid arthritis; loosening was ascribed to poor bone quality and the rheumatoid disease [13-15, 17, 31, 35, 44, 49]. The original poor bone quality in these patients can result in insufficient cup fixation.…”

Section: Discussionmentioning

confidence: 99%

Alumina-on-alumina Total Hip Arthroplasty in Young Patients: Diagnosis is More Important than Age

García-Rey¹,

Cruz-Pardos²,

García-Cimbrelo³

2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Total hip arthroplasty (THA) in young patients has a high loosening rate, due in part to acetabular deformities that may compromise bone fixation and polyethylene wear. We therefore asked whether wear or osteolysis and loosening differ in patients under 40 years of age with alumina-on-alumina THA compared to those who are older. We prospectively followed 56 patients (63 hips) younger than 40 years (Group 1) and 247 patients (274 hips) older than 40 (Group 2) who had an alumina-on-alumina THA. The minimum followup was 4 years (mean, 5.6 years; range, 4-9 years). The two groups differed in various features: there were no patients with primary osteoarthritis in Group 1 and they had worse preoperative function and range of mobility, while weight, activity level, and implant size were greater in Group 2. The survival rate for cup loosening at 80 months postsurgery was 90.8% (95% confidence interval, 82.9-98.6%) for Group 1 and 96.5% (95% confidence interval, 94.2-98.7%) for Group 2. Cup loosening was less frequent with primary osteoarthritis than with severe developmental dysplasia of the hip. Although an alumina-on-alumina THA provided similar midterm survival and radiographic loosening in both age groups, the preoperative diagnosis seems more important than age for outcome. Continued followup will be required to determine if the alumina-on-alumina bearings in young patients result less risk of osteolysis and loosening.

show abstract

Section: Discussionmentioning

confidence: 99%

Alumina-on-alumina Total Hip Arthroplasty in Young Patients: Diagnosis is More Important than Age

García-Rey¹,

Cruz-Pardos²,

García-Cimbrelo³

2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…To perform THA in adult patients with high hip dislocation, various surgical techniques have been described in the literature such as femoral shortening, through either a midtrochanteric or, more often, a subtrochanteric resection osteotomy with and without trochanteric refixation [2][3][4][5][6][7][8][9][10][11][12][13]. However, these procedures generally lead to a significant leg-length discrepancy as well as muscle weakness [2,[6][7][8][9][10][11][12][13]. The only reports on the implantation of the cup in the true acetabulum without shortening of the femur after iliofemoral distraction in patients with high hip dislocation were published by Lai et al [14,15].…”

Section: Introductionmentioning

confidence: 99%

Total hip replacement in congenital high hip dislocation following iliofemoral monotube distraction

Holinka

Pfeiffer

Hofstaetter

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The aim of this study was to prospectively evaluate our single-centre one- and five-year results of anatomically correct cementless total hip arthroplasty in unilateral and bilateral Crowe type IV high hip dislocations in ten hips following iliofemoral monotube soft tissue distraction. Six consecutive patients (five females and one male) with unilateral and two female patients with bilateral high hip dislocation with an average age of 46 years and height of dislocation up to 110 mm were treated in our institution. Limb lengthening was achieved up to 100 mm. The mean leg-length-discrepancy was -4 mm postoperatively. Harris hip score increased significantly at one year (p < 0.001) and significantly further (p < 0.05) at five years postoperative. WOMAC, VAS pain scale as well as gait and pain-free walking distance also improved significantly at follow-up. Two pin infections and one temporary peroneal nerve palsy occurred during monotube extension. Three cup protrusions that required revision surgery were observed in two patients. This study shows that iliofemoral distraction prior to total hip replacement achieves leg length equality and improved gluteal function and therefore gait in patients with Crowe type IV hip dislocation.

show abstract

“…Medial wall defect of 25% of the acetabular area is recommended [54]. But in another study, higher loosening rates of the cemented components have been determined [55].…”

Section: Acetabular Partmentioning

confidence: 99%

Total Hip Replacement in Developmental Dysplasia of the Hip: Pitfalls and Challenges

Korkmaz¹,

Malkoç²

2017

Developmental Diseases of the Hip - Diagnosis and Management

View full text Add to dashboard Cite

Introduction: Surgical treatment methods for developmental dysplasia of the hip (DDH) in the elderly patients contain pelvic or periacetabular osteotomy and hip arthroplasty. Total hip arthroplasty (THA) is the last and definitive surgical treatment modality for the end stage developmental dysplasia of the hip. Deformity classification and reconstruction:Crowe classification system describes the degree of dysplasia and gives information about the reconstruction procedure with hip arthroplasty. Classification is based on the magnitude of proximal femoral migration relative to the acetabulum. Acetabular component must be implanted to the true acetabulum for the optimal range of motion and stability of the reconstructed hip. The femoral component must be placed in neutral or slight anteversion but narrow femoral canal can be a problem for the reconstruction of femur. Conclusion-key results:The results of total hip arthroplasty in developmental dysplasia of the hip have been satisfactory for stability, mobility, and pain relief. The survivorship of cemented arthroplasty in dysplastic hips is inferior because of the young age of the patients and the complexity of the procedures. Early and midterm results of cementless hip arthroplasty are better. Most important complications after the surgery are dislocation of the reconstructed hip and sciatic nerve injury.

show abstract

Evaluation of two surgical techniques for acetabular reconstruction in total hip replacement for congenital hip disease

Cited by 33 publications

References 41 publications

Alumina-on-alumina Total Hip Arthroplasty in Young Patients: Diagnosis is More Important than Age

Alumina-on-alumina Total Hip Arthroplasty in Young Patients: Diagnosis is More Important than Age

Total hip replacement in congenital high hip dislocation following iliofemoral monotube distraction

Total Hip Replacement in Developmental Dysplasia of the Hip: Pitfalls and Challenges

Contact Info

Product

Resources

About