Total hip arthroplasty after previous proximal femoral osteotomy

被引:65
作者
Boos, N [1 ]
Krushell, R [1 ]
Ganz, R [1 ]
Muller, ME [1 ]
机构
[1] UNIV BERN, INSELSPITAL, DEPT ORTHOPAED SURG, CH-3010 BERN, SWITZERLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1997年 / 79B卷 / 02期
关键词
D O I
10.1302/0301-620X.79B2.6982
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We compared 74 total hip arthroplasties (THAs) carried out after previous proximal femoral osteotomy with a diagnosis-matched control group of 74 primary procedures performed during the same period. We report the perioperative results and the clinical and radiological outcome at five to ten years. We anticipated a higher rate of complications in the group with previous osteotomy, but found no significant difference in the rate of perioperative complications (11% each) or in the septic (8% v 3%) and aseptic (4% each) revision rates. There was a trend towards improved survival in the group without previous osteotomy (90% v 82%), but this difference was not statistically significant. The only significant differences were a higher rate of trochanteric osteotomy (88% v 14%) and a longer operating time in the osteotomy group. Our study indicates that THA after previous osteotomy is technically more demanding but not necessarily associated with a higher rate of complications. Furthermore, proximal femoral osteotomy does not jeopardise the clinical and radiological outcome of future THA enough to exclude the use of osteotomy as a therapeutic alternative in younger patients.
引用
收藏
页码:247 / 253
页数:7
相关论文
共 23 条
[1]  
[Anonymous], 1979, CLIN ORTHOP RELAT RE
[2]  
Armitage P., 2001, STAT METHODS MED RES, V4th
[3]   TOTAL HIP-REPLACEMENT AFTER UPPER FEMORAL OSTEOTOMY - A CLINICAL REVIEW [J].
BENKE, GJ ;
BAKER, AS ;
DOUNIS, E .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1982, 64 (05) :570-571
[4]  
BOMBELLI R, 1984, INTERTROCHANTERIC OS, P67
[5]  
DELEE JG, 1976, CLIN ORTHOP RELAT R, P20
[6]  
DUPONT J A, 1972, Journal of Bone and Joint Surgery British Volume, V54, P77
[7]   TOTAL HIP-ARTHROPLASTY AFTER FAILED INTERTROCHANTERIC OSTEOTOMY [J].
FERGUSON, GM ;
CABANELA, ME ;
ILSTRUP, DM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (02) :252-257
[8]  
GANZ R, 1988, CLIN ORTHOP RELAT R, P26
[9]  
GERUNDINI M, 1995, INT ORTHOP, V19, P84