Hip fusion utilizing the cobra head plate

Barmada, Riad; Abraham, Edward; Rd, Ray

doi:10.2106/00004623-197658040-00018

Cited by 27 publications

(11 citation statements)

References 3 publications

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“…The ideal patient for hip arthrodesis is a young adult with an active lifestyle. Previous studies have indicated that most young patients who undergo arthrodesis for severe osteoarthritis are very satisfied despite the functional disadvantages of a fusion [13,14]. In our case, the patient was old and might incur nonunion and complications associated with prolonged cast immobilization.…”

Section: Arthrodesismentioning

confidence: 69%

Trochanteric Fracture of a Congenital/Developmental Dislocation of the Hip in an Elderly Woman: A Case Report

Imai¹

2011

OJO

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An 87-year-old woman with a residual dislocated hip suffered a trochanteric fracture on the ipsilateral side. The fracture was treated by open reduction and internal fixation surgery with good results. To treat a proximal femoral fracture of the residual dislocated hip in an elderly patient, the patient's overall status, pre-fracture ability, hip joint configuration, and fracture pattern should be considered.

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Section: Arthrodesismentioning

confidence: 69%

Trochanteric Fracture of a Congenital/Developmental Dislocation of the Hip in an Elderly Woman: A Case Report

Imai¹

2011

OJO

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“… 60 It does not necessitate extensive surgical exposures in order to place bulky internal fixation devices. 46 , 54 , 62 The impairment of the abductor mechanism is negligible and the blood supply to the femoral head is reportedly not affected. Furthermore, from the practical perspective, the implants required for this technique are rather inexpensive and commonly used and, thus, readily available.…”

Section: Techniquesmentioning

confidence: 98%

“…In general, superior fusion rates have been reported for techniques that combine trans-articular compression and stable internal or external fixation. 46 – 48 Some authors additionally favor subtrochanteric osteotomy with the hip fusion as they believe this leads to better alignment of the extremity and relieves tension across the hip joint by avoiding the long lever-arm effect. 49 The best surgical approach for intervention remains debatable and should be judged on a case-by-case basis.…”

Section: Techniquesmentioning

confidence: 99%

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Hip arthrodesis in the pediatric population: where do we stand?

et al. 2011

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Reconstructive and salvage procedures have continued to evolve in orthopedic surgery with changing functional demands of the population as well as advances in implants and surgical techniques. What used to be popular or traditional care at some point may eventually become a thing of the past, and this is true as far as many orthopedic surgical procedures are concerned. Understanding the etiology, pathogenesis, and managing and postponing the destructive pathway of osteoarthritis (OA) has been the goal of orthopedists since the specialty began in the early part of 18th century. Options of treating the severe sequelae of an arthritic joint have varied in different treatment eras. Management options have changed from a spectrum of non-treatment and slow suffering to muscle and soft-tissue releases, interposition arthroplasty and eventual extreme options like joint fusion or arthrodesis. The concept and advent of joint replacement surgery started a new era in the management of OA and was a dream come true in many ways. Mobility and stability are achieved together during the arthroplasty (joint replacement) that allowes the patient to maintain a good level of function. Arthroplasty certainly has its pros and cons as we have discovered in the past six decades. Pushing the envelope to younger population has its limitation in terms of longevity of the prosthesis, early loosening, need for repeated revisions that at some point may not be technically possible and risk of infection and disastrous consequences like PE and death associated with the gravity of the procedure. As infrequent as it is in today's clinical practice, arthrodesis of the hip joint has a role and remains a solid option for a well selected case.The purpose of this review is to discuss the current indications in the pediatric population and outline surgical techniques for hip arthrodesis while pointing out limitations and shortcomings.

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“…They are often complex, need a long period of post-operative immobilization [1] , [5] , [7] – [9] , [11] – [13] and their failure and complication rate are not insignificant [1] , [2] , [5] – [7] , [12] , [14] – [20] . Improved results were obtained by techniques using plating techniques for stabilization, but these still remain intricate [10] , [13] , [18] , [21] – [24] .…”

Section: Introductionmentioning

confidence: 99%

Hip Arthrodesis with the Anterolateral Plate: An Innovating Technique for an Orphaned Procedure

et al. 2014

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BackgroundIn developing countries hip osteoarthritis constitutes a major public health issue as it is highly prevalent in all age ranges of population, including the young. It often remains untreated because of the low accessibility of total hip prostheses. Hip arthrodesis still represents a major treatment option, but, for several reasons which are discussed in this paper, is nowadays infrequently performed. By means of reporting the results of a new simple technique, using a self-devised plate, the relevancy of hip arthrodesis in this particular environment is emphasized.Methods and FindingsOur series included 35 patients with painful hip osteoarthritis who underwent a hip fusion with the anterolateral arthrodesis plate. Two of them had a concurrent femoral osteotomy for correction of a vicious position of the limb and another patient had a femoral diaphysis osteotomy and placement of a Wagner elongating device in order to proceed with a limb lengthening by callotasis. The follow-up period averaged 16,9 months (9 to 34). All hips, except two, achieved solid fusion between 6 and 15 months after surgery. One failure of fusion was in the oldest patient, who presented a loosening of plate and screws due to an advanced degree of osteoporosis; the other was in a young patient who admitted having walked on his leg too soon. Patient satisfaction was high. We concluded that this technique is reliable and effective.ConclusionsThe results of this study should convince the hesitant surgeon and patient to consider hip arthrodesis an acceptable treatment option for disabling hip arthritis, compared to no treatment at all.

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Hip fusion utilizing the cobra head plate

Cited by 27 publications

References 3 publications

Trochanteric Fracture of a Congenital/Developmental Dislocation of the Hip in an Elderly Woman: A Case Report

Trochanteric Fracture of a Congenital/Developmental Dislocation of the Hip in an Elderly Woman: A Case Report

Hip arthrodesis in the pediatric population: where do we stand?

Hip Arthrodesis with the Anterolateral Plate: An Innovating Technique for an Orphaned Procedure

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