Cementless total hip replacement in patients with developmental dysplasia of the hip.

M. H. Huo, A. Zurauskas, L. E. Zatorska, K. J. Keggi

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

This study was conducted to evaluate the clinical and radiographic results of 22 total hip replacements done in 17 consecutive patients for coxarthrosis due to developmental dysplasia or dislocation of the hip. All operations were done using an anterior approach without trochanteric osteotomy. Standard cementless prostheses were used in all cases. There was no custom-designed prosthesis used. The acetabular cup was placed in an anatomic position in the true acetabulum in every case. Bulk autograft was necessary to reconstruct the deficient acetabular roof in only 2 hips. The average follow-up was 63 months (range, 40 months to 95 months). The average Harris Hip Score was improved from a preoperative value of 35 (range, 24 to 46), to 96 (range, 79 to 100) at final follow-up. To date, no revision has been done. Three hips showed radiographic evidence suggestive of aseptic loosening (2 stems and 1 cup), but the clinical results remain satisfactory. There is no incidence of dislocation, sciatic nerve palsy, or infection.

Original languageEnglish (US)
Pages (from-to)171-179
Number of pages9
JournalJournal of the Southern Orthopaedic Association
Volume7
Issue number3
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Medicine(all)

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