Long-term results of cementless anatomic total hip replacement in dysplastic hips.

被引：14
作者：
Bruzzone M. [1 ]
La Russa M. [1 ]
Garzaro G. [1 ]
Ferro A. [1 ]
Rossi P. [1 ]
Castoldi F. [1 ]
Rossi R. [1 ]
机构：
[1] Department of Orthopaedics and Traumatology, Mauriziano Umberto I Hospital, Turin
来源：
MUSCULOSKELETAL SURGERY | 2009年 / 93卷 / 3期
关键词：
Hip arthroplasty; Developmental dysplasia of the hip; Anatomic; Polyethylene;
D O I：
10.1007/s12306-009-0040-4
中图分类号：
学科分类号：
摘要：
This perspective study analyzes the long-term outcomes of cementless anatomic total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Between 1990 and 2004, 100 ABG total hip prosthesis were implanted in 87 patients with DDH. The average follow-up was 9 years (range 4-18 years). The mean Harris Hip Score was 87.13 (SD = 14.6) at the last follow-up. Radiographic analysis showed good results for the stems, while in 38% of the hips we recorded periacetabular bone resorption. Mean linear polyethylene wear was 0.23 mm/year. Ten revisions have been performed, survival rate was 99% for the stems and 90% for the cups. Cementless THA with hemispherical cup and anatomical stem is recommended when possible for patients with DDH although high rates of polyethylene wear and subsequent osteolysis have been the limiting factor in the long-term success of this implant.
引用
收藏
页码：131 / 136
页数：5
相关论文
共 92 条
[1]  
Harris VM(1969)Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation J Bone Joint Surg Am 51 737-755
[2]  
d’Aubigné RM(1954)Functional results of hip arthroplasty with acrylic prosthesis J Bone Joint Surg Am 36 451-475
[3]  
Postel M(1988)Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee J Rheumatol 15 1833-1840
[4]  
Bellamy N(1979)Total hip replacement in congenital dislocation and dysplasia of the hip J Bone Joint Surg Am 61 15-23
[5]  
Buchanan WW(1979)Models of failure of cemented stem-type femoral components: a radiographic analysis of loosening Clin Orthop 141 17-27
[6]  
Goldsmith CH(1976)Radiological demarcation of cemented sockets in total hip replacement Clin Orthop 121 20-32
[7]  
Campbell J(1992)A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty J Bone Joint Surg 74A 1009-1020
[8]  
Stitt LW(1973)Ectopic ossification following total hip replacement, incidence and a method of classification J Bone Joint Surg Am 55 1629-1632
[9]  
Crowe JF(2006)Cementless total hip arthroplasty in patients with high congenital hip dislocation J Bone Joint Surg Am 88 80-91
[10]  
Mani VJ(2006)Long-term survival of the acetabular component after total hip arthroplasty with cement in patients with developmental dysplasia of the hip J Bone Joint Surg Am 88 71-79
12345678910