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. 2016 Jul-Dec;7(2):136-42.
doi: 10.4103/0976-9668.184699.

Uncemented total hip arthroplasty in osteoarthritis of hip secondary to low and high dislocated hips: A mid-term follow-up study

Sudarshan Munigangaiah  1 , Sinead O'Dwyer  2 , Eric Masterson  2
Affiliations

Uncemented total hip arthroplasty in osteoarthritis of hip secondary to low and high dislocated hips: A mid-term follow-up study

Sudarshan Munigangaiah et al. J Nat Sci Biol Med. 2016 Jul-Dec.

Abstract

Background: Performing successful total hip replacement (THR) in dysplastic, subluxed, and dislocated hip is a challenging task. Here, we assessed midterm clinical and radiological outcomes of uncemented total hip arthroplasty in osteoarthritis (OA) of hip secondary to Hartofilakidis low and high-dislocated hips with a mean follow-up of 8.8 years.

Materials and methods: A retrospective study of prospectively collected data was designed involving all consecutive patients who underwent uncemented THR for OA of hip secondary to developmental dysplasia of the hip and Grade II or Grade III Hartofilakidis classification.

Results: Thirty-two patients underwent 45 THR, with 23 Grade II (low dislocation) and 22 Grade III (high-dislocation) of Hartofilakidis classification. Thirteen patients had bilateral hip replacements, 19 patients had unilateral THR. There was highly statistically significant difference between preoperative and postoperative HHS and SF-36v2™ at each follow-up. Survivorship of original implant was 98.88% at a mean follow-up of 8.8 years. The mean improvement in leg length in this series was 3.6 cm (1.8-4.5, 95% confidence interval). No sciatic nerve or femoral nerve palsies were observed.

Conclusions: Uncemented THR provides better function and quality of life. However, longer follow-up studies are needed to assess survivorship of uncemented THR in Hartofilakidis low and high-dislocations.

Keywords: Developmental dysplasia of hip; high-dislocation; secondary osteoarthritis; uncemented prosthesis; uncemented total hip replacement.

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Figures

Figure 1
Figure 1
Distribution of total hip replacement
Figure 2
Figure 2
Hartofilakidis classification
Figure 3
Figure 3
Gender distribution
Figure 4
Figure 4
Mean Harris hip score
Figure 5
Figure 5
SF-36v2 physical and mental component scores
Figure 6
Figure 6
Distribution of limp
Figure 7
Figure 7
Preoperative antero-posterior radiograph of pelvis showing low dislocation on the right side and high-dislocation on the left side
Figure 8
Figure 8
Postoperative antero-posterior radiograph of pelvis showing bilateral uncemented total hip replacements
Figure 9
Figure 9
Preoperative antero-posterior radiograph of pelvis showing bilateral high-dislocation
Figure 10
Figure 10
Postoperative antero-posterior radiograph of pelvis showing bilateral uncemented total hip replacements
See this image and copyright information in PMC

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References

    1. Buckwalter JA, Saltzman C, Brown T. The impact of osteoarthritis: Implications for research. Clin Orthop Relat Res. 2004;427(Suppl):S6–15. - PubMed
    1. Cicuttini FM, Baker JR, Spector TD. The association of obesity with osteoarthritis of the hand and knee in women: A twin study. J Rheumatol. 1996;23:1221–6. - PubMed
    1. Spector TD, Cicuttini F, Baker J, Loughlin J, Hart D. Genetic influences on osteoarthritis in women: A twin study. BMJ. 1996;312:940–3. - PMC - PubMed
    1. Boles CA, el-Khoury GY. Slipped capital femoral epiphysis. Radiographics. 1997;17:809–23. - PubMed
    1. Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR. Subclinical slipped capital femoral epiphysis. Relationship to osteoarthrosis of the hip. J Bone Joint Surg Am. 1997;79:1489–97. - PubMed

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