Tight Fit Technique in Primary Hybrid Total Hip Arthroplasty for Patients with Hip Dysplasia

Ito, Hiroshi; Hirayama, Teruhisa; Tanino, Hiromasa; Matsuno, Takeo; Minami, Akio

doi:10.1016/j.arth.2006.01.016

Cited by 9 publications

(6 citation statements)

References 25 publications

(27 reference statements)

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“…The complication rate in our series is comparable with that reported in other studies of THA for dysplastic hips [17][18][19][20][21][22][23]. Limb length discrepancy is one of the main problems in severely dysplastic hip replacement, since functional lengthening is limited by tight soft tissues, especially by the sciatic nerve.…”

Section: Discussionsupporting

confidence: 90%

Long-term results of cementless anatomic total hip replacement in dysplastic hips

Bruzzone¹,

Russa²,

Garzaro³

et al. 2009

Musculoskelet Surg

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This perspective study analyzes the long-term outcomes of cementless anatomic total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Between 1990 and 2004, 100 ABG total hip prosthesis were implanted in 87 patients with DDH. The average follow-up was 9 years (range 4-18 years). The mean Harris Hip Score was 87.13 (SD = 14.6) at the last follow-up. Radiographic analysis showed good results for the stems, while in 38% of the hips we recorded periacetabular bone resorption. Mean linear polyethylene wear was 0.23 mm/year. Ten revisions have been performed, survival rate was 99% for the stems and 90% for the cups. Cementless THA with hemispherical cup and anatomical stem is recommended when possible for patients with DDH although high rates of polyethylene wear and subsequent osteolysis have been the limiting factor in the long-term success of this implant.

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Section: Discussionsupporting

confidence: 90%

Long-term results of cementless anatomic total hip replacement in dysplastic hips

Bruzzone¹,

Russa²,

Garzaro³

et al. 2009

Musculoskelet Surg

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“…We previously reported good intermediate-term results of the primary hybrid THA for patients with osteoarthritis secondary to developmental dysplasia [18,19]. Other authors also reported similar good results of hybrid THAs for patients with developmental dysplasia [20,21].…”

Section: Discussionmentioning

confidence: 54%

“…There was no aseptic loosening of the cemented stems in our study. Our consistent surgical techniques including "tight-fit technique", in which all final femoral rasps used for canal preparation over-rasped only by 0.5 mm, seem to have contributed to the good clinical results [18,19]. Several studies have reported increased rates of dislocations in patients with RA.…”

Section: Discussionmentioning

confidence: 80%

Intermediate- to Long-Term Results After Hybrid Total Hip Arthroplasty in Patients With Rheumatoid Arthritis

Ito

Tanino

Yamanaka

et al. 2013

The Journal of Arthroplasty

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There have been few reports describing intermediate- to long-term results after hybrid total hip arthroplasty in patients with rheumatoid arthritis. We followed up 52 hips in 44 patients aged 5 men and 39 women, with a mean of 11.5 years (range, 5-23.5 years). Revisions had been performed in 6 hips in 6 patients: 1 both acetabular and femoral components for infection, 1 acetabular component for aseptic loosening, 3 acetabular components for recurrent dislocation, and 1 acetabular component for dislodgement of the polyethylene liner from the metal shell. None of other acetabular or femoral components were revised or found to be loose at the final follow-up. Although postoperative dislocation remains a concern, hybrid total hip arthroplasty had an acceptable result in patients with rheumatoid arthritis.

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“…Orthopedic residents performed all surgery supervised by the senior author, a hip specialist. After rasping the canal, the stem was inserted with canal-filling (tight-fit) implantation [14][15][16]. The thirdgeneration cementing technique was applied, using 80 g of Surgical Simplex P bone cement (Stryker Howmedica Osteonics, Mahwah, New Jersey) mixed with 2 g of cephazolin immediately before cementing.…”

Section: Methodsmentioning

confidence: 99%

Blood-pressure changes and outcomes associated with cemented bipolar hemiarthroplasty for displaced femoral-neck fractures

Miyamoto

Nakamura

Iida

et al. 2015

Eur Orthop Traumatol

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Background The purpose of this retrospective cohort study was to investigate the cementing effects on intraoperative blood pressure and the clinical and radiographic outcomes in elderly patients with femoral-neck fracture undergoing bipolar hemiarthroplasty using a polished, tapered stem. Methods This retrospective cohort study included 38 patients with acute displaced femoral-neck fractures (mean age, 76.2 years; mean follow-up, 21.4 months (68 % follow-up rate)). Results Intraoperative systolic blood pressure decreased significantly, both during cementing (109.1 mmHg) and after stem insertion (101.6 mmHg), compared with the level before rasping (122.2 mmHg; p=0.0036 and p=0.0001, respectively). Diastolic blood pressure decreased significantly after stem insertion (57.9 mmHg versus 67.3 mmHg before rasping; p= 0.003). Hypoxia did not occur. Nineteen patients were Donaldson's grade 1, 16 were grade 2, and none were grade 3. Twenty-three patients (74 %) maintained their preoperative activity level; 15 (26 %) worsened after surgery. Stem subsidence significantly increased over time: 0.32 mm at 6 months, 0.53 mm at 1 year, 0.91 mm at 2 years, 1.08 mm at 3 years, and 1.13 mm at 4 years. Conclusions Cemented bipolar hemiarthroplasty for displaced femoral-neck fracture in elderly patients leads to hypotension, unchanged arterial oxygen saturation, favorable clinical outcomes, and acceptable stem subsidence.

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Tight Fit Technique in Primary Hybrid Total Hip Arthroplasty for Patients with Hip Dysplasia

Cited by 9 publications

References 25 publications

Long-term results of cementless anatomic total hip replacement in dysplastic hips

Long-term results of cementless anatomic total hip replacement in dysplastic hips

Intermediate- to Long-Term Results After Hybrid Total Hip Arthroplasty in Patients With Rheumatoid Arthritis

Blood-pressure changes and outcomes associated with cemented bipolar hemiarthroplasty for displaced femoral-neck fractures

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