Outcome after cementless total hip arthroplasty for arthritic hip in patients with residual poliomyelitis: a case series

被引:6
|
作者
Cho, Yoon J. [1 ]
Lee, Choong H. [2 ]
Chun, Young S. [2 ]
Rhyu, Kee H. [2 ]
机构
[1] Kyung Hee Univ Hosp, Dept Orthopaed Surg, Seoul, South Korea
[2] Kyung Hee Univ Hosp Gangdong, Dept Orthopaed Surg, 892 Dongnam Ro, Seoul 134727, South Korea
关键词
Cementless; Outcome; Poliomyelitis; Total hip arthroplasty; PARALYTIC POLIOMYELITIS; REPLACEMENT; DISLOCATIONS;
D O I
10.5301/hipint.5000372
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
摘要
Purpose: In this case series, we investigated the outcome of cementless total hip arthroplasty (THA) for advanced hip osteoarthritis in patients with residual poliomyelitis to evaluate its clinical usefulness for these patients. Methods: 11 unilateral cementless primary THA were performed to arthritic hips in patients with residual poliomyelitis. 7 were in paralytic and 4 were in nonparalytic limbs. The mean follow-up duration was 79.9 months. Retrospective clinical evaluations with various scores and radiological evaluations were made. Results: Harris Hip Score, Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Short-form (SF)-36 physical scales were significantly improved after the surgery. However, UCLA activity score and SF-36 mental scale were not. Because of remaining leg length discrepancies, all but 1 noted a residual limp. In nonparalytic hip, functional acetabular cup inclination during weight bearing significantly increased from installed inclination. Other than 1 case of posterior dislocation, no complications were observed. Conclusions: Although the overall result itself is excellent, THA for these patients cannot improve limp, physical activity and mental status. Surgeons should be aware of the change of the inclination of acetabular cup during mobilisation, especially for THA in contralateral hip.
引用
收藏
页码:458 / 461
页数:4
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