Document Detail


Circumferential osteotomy of the medial acetabular wall in total hip replacement for the late sequelae of childhood septic arthritis of the hip.
MedLine Citation:
PMID:  17905949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We performed 52 total hip replacements in 52 patients using a cementless acetabular component combined with a circumferential osteotomy of the medial acetabular wall for the late sequelae of childhood septic arthritis of the hip. The mean age of the patients at operation was 44.5 years (22 to 66) and the mean follow-up was 7.8 years (5 to 11.8). The mean improvement in the Harris Hip Score was 29.6 points (19 to 51) at final follow-up. The mean cover of the acetabular component was 98.5% (87.8% to 100%). The medial acetabular wall was preserved with a mean thickness of 8.3 mm (1.7 to 17.4) and the mean length of abductor lever arm increased from 43.4 mm (19.1 to 62) to 54.2 mm (36.5 to 68.6). One acetabular component was revised for loosening and osteolysis 4.5 years postoperatively, and one had radiolucent lines in all acetabular zones at final review. Kaplan-Meier survival was 94.2% (95% confidence interval 85.8% to 100%) at 7.3 years, with revision or radiological loosening as an end-point when two hips were at risk. A cementless acetabular component combined with circumferential medial acetabular wall osteotomy provides favourable results for acetabular reconstruction in patients who present with late sequelae of childhood septic hip arthritis.
Authors:
Y-Y Lian; M-C Yoo; F-X Pei; Y-J Cho; J-Q Cheng; S-W Chun
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  89     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-01     Completed Date:  2008-01-17     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1149-54     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, China.
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / surgery*
Adult
Aged
Arthritis, Infectious / surgery*
Arthroplasty, Replacement, Hip / methods*
Child
Female
Follow-Up Studies
Hip Prosthesis
Humans
Male
Middle Aged
Osteoarthritis, Hip / surgery*
Osteotomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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