Document Detail


Operative tactics and results of treatment of patients with coxarthrosis secondary to congenital high luxation of hip joints.
MedLine Citation:
PMID:  18227752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Treatment of the sequelae of congenital high luxation of the hip joint is a major challenge in prosthetic surgery, demanding from the operator thorough familiarity with the problem and experience in hop reconstructive surgery. MATERIAL AND METHOD: The results of 4 years observation, of the treatment of 14 woman in the average age of 38 years old with 18 hip joints with congenital high luxation are presented. In all cases cementless total hip arthroplasty was made. Acetabular component of the prosthesis was implanted correctly and stable in its physiological placement. Femur was shortened average 4 cm and stabilized by cementless press-fit stem of prosthesis. The place of femur osteotomy was covered with autogenic spongy bone from resected caput of femur. RESULTS: The union was achieved after average 10 weeks. In clinical assessment there were obtained 10 very good, 5 good and 3 satisfactory clinical results. There were no superficial or deep infections, no neurological disorders and no loosening of components of implanted prostheses observed. CONCLUSIONS: 1. Careful planning and carrying out the operative procedures allow to insert the acetabular component of the prosthesis in its physiological place and achieve good results. 2. Shortening of femur and repositioning of components of prosthesis in 90 degrees knee flexion and also position on broken bed after operative procedure allowed to avoid neurological disorders. 3. Cementless and hydroxyapatite-covered femoral component of the prosthesis correctly stabilize place of femur osteotomy.
Authors:
Roman Król; Marek Rojewski; Adam Kamiński; Tomasz Popławski
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ortopedia, traumatologia, rehabilitacja     Volume:  9     ISSN:  1509-3492     ISO Abbreviation:  -     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2008-01-29     Completed Date:  2008-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101240146     Medline TA:  Ortop Traumatol Rehabil     Country:  Poland    
Other Details:
Languages:  eng; pol     Pagination:  604-11     Citation Subset:  IM    
Affiliation:
Oddział Ortopedii i Traumatologii Narzadu Ruchu, Specjalistyczny Szpital im. Prof. A. Sokołowskiego, Szczecin, Zdunowo.
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / radiography,  surgery*
Adult
Arthroplasty, Replacement, Hip / methods
Female
Hip Dislocation, Congenital / complications,  surgery*
Hip Joint / surgery*
Humans
Middle Aged
Osteoarthritis, Hip / etiology,  radiography,  surgery*
Treatment Outcome

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