Total hip arthroplasty in patients with neuromuscular imbalance

被引:20
作者
Konan, S. [1 ,2 ]
Duncan, C. P. [1 ]
机构
[1] Univ British Columbia, Vancouver Gen Hosp, Dept Orthopaed, Vancouver, BC V5Z 4E3, Canada
[2] Univ Coll London Hosp NHS Trust, Dept Trauma & Orthopaed, 250 Euston Rd, London NW1 2BU, England
关键词
CEREBRAL-PALSY; REPLACEMENT; POLIOMYELITIS; DISLOCATION; JOINT; OSSIFICATION;
D O I
10.1302/0301-620X.100B1.BJJ-2017-0571.R1
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
Patients with neuromuscular imbalance who require total hip arthroplasty (THA) present particular technical problems due to altered anatomy, abnormal bone stock, muscular imbalance and problems of rehabilitation. In this systematic review, we studied articles dealing with THA in patients with neuromuscular imbalance, published before April 2017. We recorded the demographics of the patients and the type of neuromuscular pathology, the indication for surgery, surgical approach, concomitant soft-tissue releases, the type of implant and bearing, pain and functional outcome as well as complications and survival. Recent advances in THA technology allow for successful outcomes in these patients. Our review suggests excellent benefits for pain relief and good functional outcome might be expected with a modest risk of complication.
引用
收藏
页码:17 / 21
页数:5
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