Modular Cementless Total Hip Arthroplasty for Multiple Epiphyseal Dysplasia

被引：26

作者：

Lim, Seung-Jae ^{[1
]}

Park, Youn-Soo ^{[1
]}

Moon, Young-Wan ^{[1
]}

Jung, Sung-Mo ^{[1
]}

Ha, Hae-Chan ^{[1
]}

Seo, Jai-Gon ^{[1
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Orthoped Surg, Seoul 135710, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2009年 / 24卷 / 01期

关键词：

total hip arthroplasty; multiple epiphyseal dysplasia; end-stage osteoarthritis; modular cementless prostheses; outcome; DIASTROPHIC DYSPLASIA; FEMORAL COMPONENTS; REPLACEMENT; DISLOCATION; FRACTURES;

D O I：

10.1016/j.arth.2006.01.012

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：

100224 [整形外科学];

摘要：

We analyzed a consecutive series of 23 total hip arthroplastics that had been performed using modular cementless prostheses in 13 patients with a confirmed diagnosis of multiple epiphyseal dysplasia and end-stage osteoarthritis of the hip. The average Harris hip score improved from 40.6 to 93.8 points. Postoperatively, all hips demonstrated favorable alterations in the biomechinical parameters including hip center of rotation, femoral offset, femoral neck length, and limb length. At a mean follow-up of 4.8 years, no hip required revision because aseptic loosening of the acetabular or femoral component. One patient (1 hip, 4.3%) underwent reoperation for polythylene wear and osteolysis 8 years after index arthroplasty. This study shows encouraging clinical and radiographic outcomes of modular cementless total hip arthroplasties for this technically difficult condition.

引用

页码：77 / 82

页数：6

共 24 条

[1]

Total hip arthroplasty in skeletal dysplasias - Patient selection, preoperative planning, and operative techniques [J].