Applications of total hip prosthesis to patients with coxarthrosis that has developed due to developmental hip dysplasia

Halil Gök; Alim Can Baymurat; Asim Ahmadov; Fatih İbrahim Pestilci

Makale detayları

Applications of total hip prosthesis to patients with coxarthrosis that has developed due to developmental hip dysplasia

Yazarlar:

Halil Gök | Alim Can Baymurat | Asim Ahmadov | Fatih İbrahim Pestilci

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.41 Issue 3, pp.619-625

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325923

pISSN:

1309-4483

Anahtar kelimeler:

Özet:

 The aim of this study was to evaluate the clinical and radiographic results of total hip arthroplasty THA for coxarthrosis secondary to developmental dysplasia of the hip DDH. Examinations were made of 58 hips in 47 patients with DDH who were operated on between 1990-2000 patients with anatomic centred hips with or without roof graft andor femoral shortening. The patients were evaluated using the Modified Harris Hip Score pre- and postoperatively. The average Harris score increased from 47.7 preoperatively to 89.2 postoperatively. The average age of 43 female and 4 male patients was 48 years 24-65. All the patients presented with a limp, which was resolved after surgery in 34 and partially improved in others. The average medialization was 24 mm, and the average distal placement was 32 mm. A total of 28 48 complications were observed in 26 patients. Intraoperatively, fissures were detected in the proximal femur in 5, and were fixed with cerclage wiring. One patient with femoral shortening had hip dislocation one week later, so plate screw fixation was revised with open reduction. One patient had anterior thigh pain, heterotopic ossification was observed in three cases, and polyethylene wear in one case. All 20 patients who had superolateral acetabular grafting showed incorporation but there was observed to be resorption in a 20 section that was non-weight-bearing in 3 cases. THA is an effective treatment option for coxarthrosis in neglected DDH. Patients should be informed about the problems they may encounter after surgery and care should be taken in terms of complications such as dislocation, prosthesis infection, and vascular and nerve damage.

 The aim of this study was to evaluate the clinical and radiographic results of total hip arthroplasty THA for coxarthrosis secondary to developmental dysplasia of the hip DDH. Examinations were made of 58 hips in 47 patients with DDH who were operated on between 1990-2000 patients with anatomic centred hips with or without roof graft andor femoral shortening. The patients were evaluated using the Modified Harris Hip Score pre- and postoperatively. The average Harris score increased from 47.7 preoperatively to 89.2 postoperatively. The average age of 43 female and 4 male patients was 48 years 24-65. All the patients presented with a limp, which was resolved after surgery in 34 and partially improved in others. The average medialization was 24 mm, and the average distal placement was 32 mm. A total of 28 48 complications were observed in 26 patients. Intraoperatively, fissures were detected in the proximal femur in 5, and were fixed with cerclage wiring. One patient with femoral shortening had hip dislocation one week later, so plate screw fixation was revised with open reduction. One patient had anterior thigh pain, heterotopic ossification was observed in three cases, and polyethylene wear in one case. All 20 patients who had superolateral acetabular grafting showed incorporation but there was observed to be resorption in a 20 section that was non-weight-bearing in 3 cases. THA is an effective treatment option for coxarthrosis in neglected DDH. Patients should be informed about the problems they may encounter after surgery and care should be taken in terms of complications such as dislocation, prosthesis infection, and vascular and nerve damage.

 The aim of this study was to evaluate the clinical and radiographic results of total hip arthroplasty THA for coxarthrosis secondary to developmental dysplasia of the hip DDH. Examinations were made of 58 hips in 47 patients with DDH who were operated on between 1990-2000 patients with anatomic centred hips with or without roof graft andor femoral shortening. The patients were evaluated using the Modified Harris Hip Score pre- and postoperatively. The average Harris score increased from 47.7 preoperatively to 89.2 postoperatively. The average age of 43 female and 4 male patients was 48 years 24-65. All the patients presented with a limp, which was resolved after surgery in 34 and partially improved in others. The average medialization was 24 mm, and the average distal placement was 32 mm. A total of 28 48 complications were observed in 26 patients. Intraoperatively, fissures were detected in the proximal femur in 5, and were fixed with cerclage wiring. One patient with femoral shortening had hip dislocation one week later, so plate screw fixation was revised with open reduction. One patient had anterior thigh pain, heterotopic ossification was observed in three cases, and polyethylene wear in one case. All 20 patients who had superolateral acetabular grafting showed incorporation but there was observed to be resorption in a 20 section that was non-weight-bearing in 3 cases. THA is an effective treatment option for coxarthrosis in neglected DDH. Patients should be informed about the problems they may encounter after surgery and care should be taken in terms of complications such as dislocation, prosthesis infection, and vascular and nerve damage.

 The aim of this study was to evaluate the clinical and radiographic results of total hip arthroplasty THA for coxarthrosis secondary to developmental dysplasia of the hip DDH. Examinations were made of 58 hips in 47 patients with DDH who were operated on between 1990-2000 patients with anatomic centred hips with or without roof graft andor femoral shortening. The patients were evaluated using the Modified Harris Hip Score pre- and postoperatively. The average Harris score increased from 47.7 preoperatively to 89.2 postoperatively. The average age of 43 female and 4 male patients was 48 years 24-65. All the patients presented with a limp, which was resolved after surgery in 34 and partially improved in others. The average medialization was 24 mm, and the average distal placement was 32 mm. A total of 28 48 complications were observed in 26 patients. Intraoperatively, fissures were detected in the proximal femur in 5, and were fixed with cerclage wiring. One patient with femoral shortening had hip dislocation one week later, so plate screw fixation was revised with open reduction. One patient had anterior thigh pain, heterotopic ossification was observed in three cases, and polyethylene wear in one case. All 20 patients who had superolateral acetabular grafting showed incorporation but there was observed to be resorption in a 20 section that was non-weight-bearing in 3 cases. THA is an effective treatment option for coxarthrosis in neglected DDH. Patients should be informed about the problems they may encounter after surgery and care should be taken in terms of complications such as dislocation, prosthesis infection, and vascular and nerve damage.

Makale detayları

Applications of total hip prosthesis to patients with coxarthrosis that has developed due to developmental hip dysplasia

Yazarlar:

Halil Gök | Alim Can Baymurat | Asim Ahmadov | Fatih İbrahim Pestilci

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.41 Issue 3, pp.619-625

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325923

pISSN:

1309-4483

Developmental hip dysplasia

coxarthrosis

total hip arthroplasty

Harris hip score

Sayı

Makale detayları

Applications of total hip prosthesis to patients with coxarthrosis that has developed due to developmental hip dysplasia

Yazarlar: Halil Gök | Alim Can Baymurat | Asim Ahmadov | Fatih İbrahim Pestilci

Yayıncı: Ondokuz Mayıs University

Ana Başlıklar: Orthopaedics

Dergi: Deneysel ve Klinik Tıp Dergisi Vol.41 Issue 3, pp.619-625

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001325923

pISSN: 1309-4483

Developmental hip dysplasia

coxarthrosis

total hip arthroplasty

Harris hip score

Sayı

Yazarlar:

Halil Gök | Alim Can Baymurat | Asim Ahmadov | Fatih İbrahim Pestilci

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.41 Issue 3, pp.619-625

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325923

pISSN:

1309-4483