Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up

被引:4
作者
Huang, Tsan-Wen [1 ,2 ]
Chang, Chih-Hsiang [2 ,3 ,4 ]
Chang, Fu-Chun [1 ]
Chen, Chun-Chieh [2 ,3 ,4 ]
Huang, Kuo-Chin [1 ,2 ]
Lee, Mel S. [2 ,5 ]
Shih, Hsin-Nung [2 ,3 ,4 ]
机构
[1] Chang Gung Mem Hosp, Dept Orthopaed Surg, Chiayi, Taiwan
[2] Chang Gung Univ, Taoyuan, Taiwan
[3] Chang Gung Mem Hosp, Dept Orthopaed Surg, Linkou, Taiwan
[4] Chang Gung Mem Hosp, Bone & Joint Res Ctr, Linkou, Taiwan
[5] Kaohsiung Chang Gung Mem Hosp, Dept Orthopaed Surg, Kaohsiung, Taiwan
关键词
FEMORAL-NECK FRACTURES; BIPOLAR HEMIARTHROPLASTY; UNIPOLAR; PROSTHESIS; SURVIVORSHIP; SURVIVAL;
D O I
10.1155/2019/7814602
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Austin-Moore hemiarthroplasty (HA) had been selectively used for elderly patients with femoral neck fractures. With increasing life span and activity, the sequela of Austin-Moore HA make the implant no longer favorable. The treatment of failed Austin-Moore HA with advanced acetabular erosion is challenging; however, little has been published regarding this topic. The aim of this study was to evaluate the mid-term results of using cementless total hip arthroplasty (THA) in octogenarians. Between 2008 and 2011, 47 patients (32 women and 15 men) with an average age of 86 years (range 83-89 years) were enrolled in this retrospective study. After an average follow-up period of 6.2 years (range 5.0-7.8 years), no migration or loosening of the cup or femoral stem was found. Harris hip scores improved from 36 (range 15-42) preoperatively to 87 (range 80-90). There were no complications directly associated with the procedure except for superficial infections in two patients. Our results suggest that using cementless THA can result in favorable radiographic and clinical outcomes in octogenarian patients.
引用
收藏
页数:6
相关论文
共 24 条
[1]   Dislocationm after revision total hip arthroplasty - An analysis of risk factors and treatment options [J].
Alberton, GM ;
High, WA ;
Morrey, BF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (10) :1788-1792
[2]   Total hip arthroplasty and hemiarthroplasty in mobile, independent patients with a displaced intracapsular fracture of the femoral neck - A randomized, controlled trial [J].
Baker, R. P. ;
Squires, B. ;
Gargan, M. F. ;
Bannister, G. C. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (12) :2583-2589
[3]   Total hip arthroplasty for failed aseptic Austin Moore prosthesis [J].
Bhosale, Pradeep ;
Suryawanshi, Ashish ;
Mittal, Amber .
INDIAN JOURNAL OF ORTHOPAEDICS, 2012, 46 (03) :297-303
[4]  
Burnett R.S. J., 2010, British Columbia Medical Journal, V52, P455
[5]  
Clayer M, 1997, Am J Orthop (Belle Mead NJ), V26, P681
[6]   Failure of Austin Moore hemiarthroplasty: total hip replacement as a treatment strategy [J].
Cossey, AJ ;
Goodwin, MI .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2002, 33 (01) :19-21
[7]   Clinical results of conversion total hip arthroplasty after failed bipolar hemiarthroplasty [J].
Diwanji, Sanket R. ;
Kim, Sung Kyu ;
Seon, Jong Keun ;
Park, Sang Jin ;
Yoon, Taek Rim .
JOURNAL OF ARTHROPLASTY, 2008, 23 (07) :1009-1015
[8]   The Cemented Unipolar Prosthesis for the Management of Displaced Femoral Neck Fractures in the Dependent Osteopenic Elderly [J].
Grosso, Matthew G. ;
Danoff, Jonathan R. ;
Padgett, Douglas E. ;
Iorio, Richard ;
Macaulay, William B. .
JOURNAL OF ARTHROPLASTY, 2016, 31 (05) :1040-1046
[9]   Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate [J].
Grosso, Matthew J. ;
Danoff, Jonathan R. ;
Murtaugh, Taylor S. ;
Trofa, David P. ;
Sawires, Andrew N. ;
Macaulay, William B. .
JOURNAL OF ARTHROPLASTY, 2017, 32 (01) :150-154
[10]   Bone turnover and periprosthetic bone loss after cementless total hip arthroplasty can be restored by zoledronic acid: a prospective, randomized, open-label, controlled trial [J].
Huang, Tsan-Wen ;
Wang, Chao-Jan ;
Shih, Hsin-Nung ;
Chang, Yuhan ;
Huang, Kuo-Chin ;
Peng, Kuo-Ti ;
Lee, Mel S. .
BMC MUSCULOSKELETAL DISORDERS, 2017, 18