Uncemented Total Hip Arthroplasty in Osteoarthritis of Hip Secondary to Low and High Dislocated Hips: A Mid-term Follow-up Study

Overview

Journal J Nat Sci Biol Med

Specialty General Medicine

Date 2016 Jul 20

PMID 27433063

Citations 1

Authors

Sudarshan Munigangaiah

Sinead ODwyer

Eric Masterson

Affiliations

Soon will be listed here.

Abstract

Background: Performing successful total hip replacement (THR) in dysplastic, subluxed, and dislocated hip is a challenging task. Here, we assessed midterm clinical and radiological outcomes of uncemented total hip arthroplasty in osteoarthritis (OA) of hip secondary to Hartofilakidis low and high-dislocated hips with a mean follow-up of 8.8 years.

Materials And Methods: A retrospective study of prospectively collected data was designed involving all consecutive patients who underwent uncemented THR for OA of hip secondary to developmental dysplasia of the hip and Grade II or Grade III Hartofilakidis classification.

Results: Thirty-two patients underwent 45 THR, with 23 Grade II (low dislocation) and 22 Grade III (high-dislocation) of Hartofilakidis classification. Thirteen patients had bilateral hip replacements, 19 patients had unilateral THR. There was highly statistically significant difference between preoperative and postoperative HHS and SF-36v2™ at each follow-up. Survivorship of original implant was 98.88% at a mean follow-up of 8.8 years. The mean improvement in leg length in this series was 3.6 cm (1.8-4.5, 95% confidence interval). No sciatic nerve or femoral nerve palsies were observed.

Conclusions: Uncemented THR provides better function and quality of life. However, longer follow-up studies are needed to assess survivorship of uncemented THR in Hartofilakidis low and high-dislocations.

Citing Articles

Effect of Total Hip Arthroplasty with Ceramic Acetabular Component on Clinical, Radiographic and Functional Parameters in Older Patients with Hip Osteoarthritis: Two-Year Follow-Up.

Torini A, Eduardo Barsotti C, Andrade R, Nali L, Ribeiro A J Clin Med. 2023; 12(2).

PMID: 36675598 PMC: 9866041. DOI: 10.3390/jcm12020670.

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