SHORT-AND MEDIUM-TERM EFFECTIVENESSES OF STEMLESS HIP ARTHROPLASTY FOR TREATING HIP JOINT DISEASE IN YOUNG AND MIDDLE-AGED PATIENTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 CHENQingzhen ¹ , LIUWuyang ² , GAOHui ² , SHIMingxiang ¹ , LIANYucai ¹

1. Department of Orthopaedics, Ganzhou Hospital of Traditional Chinese Medicine, Ganzhou Jiangxi, 341000, P. R. China;
2. Department of Orthopaedics, the First Affiliated Hospital of Gannan Medical University;

Corresponding author：

CHENQingzhen, Email: cfeng0608@163.com

Keywords：

Stemless hip prosthesis; Total hip arthroplasty; Hip joint disease; Young and middle-aged patients

DOI：

10.7507/1002-1892.20140232

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the short-and medium-term effectivenesses of stemless hip arthroplasty for treating hip joint disease in young and middle-aged patients. Methods Between June 2005 and December 2010, 25 cases (27 hips) of hip joint disease were treated with stemless hip arthroplasty. There were 17 males (19 hips) and 8 females (8 hips) with an average age of 45.6 years (range, 30-57 years), including 13 left hips, 10 right hips, and 2 bilateral hips. The causes included avascular necrosis of the femoral head (ANFH) secondary to femoral neck fracture in 5 cases (5 hips), ANFH in 15 cases (16 hips), osteoarthritis of the hip joint caused by ankylosing spondylitis in 2 cases (3 hips), osteoarthritis of the hip joint caused by dysplasia of acetabular in 2 cases (2 hips), and rheumatoid arthritis in 1 case (1 hip). The disease duration was 1-17 years (mean, 6.1 years). Before operation, the Harris score was 47.6±14.2. Results The incision healed by first intention in all patients, and no complications occurred, such as infection, periprosthetic fracture, and deep vein thrombosis of lower extremity. Twenty-five patients (27 hips) were followed up 36-96 months (mean, 51 months). One case (1 hip) had sciatic nerve injury after operation, which was relieved by symptomatic treatment. One case (1 hip) had prosthesis loosening, which was relieved after revision. The survival rate of prosthesis was 96.3% (26/27). At last follow-up, the Harris score was 92.1±3.6, which was significantly better than preoperative score (t=18.241, P=0.000). The excellent and good rate was 88.9% (excellent in 19 hips, good in 5 hips, fair in 2 hips, and poor in 1 hip). The X-ray films showed good location of prosthesis, and no evidence of dislocation, bone resorption, osteolysis, and heterotopic ossification. Conclusion Because of reserving femoral neck, biomechanics conduction and distribute of the proximal femur achieve natural biomechanics state of the human body. The short-and medium-term effectivenesses of stemless hip arthroplasty for treating hip joint disease in young and middle-aged patients are satisfactory, but the long-term effectiveness need further observation.

Citation： CHENQingzhen, LIUWuyang, GAOHui, SHIMingxiang, LIANYucai. SHORT-AND MEDIUM-TERM EFFECTIVENESSES OF STEMLESS HIP ARTHROPLASTY FOR TREATING HIP JOINT DISEASE IN YOUNG AND MIDDLE-AGED PATIENTS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(9): 1062-1065. doi: 10.7507/1002-1892.20140232 Copy

1.	Liu YE, Hu S, Chan SP, et al.The epidemiology and surgical outcomes of patients undergoing primary total hip replacement:an Asian perspective.Singapore Med J, 2009, 50(1):15-19.
2.	丁少华, 郑慷.保留股骨颈型人工全髋关节置换术治疗中青年髋关节疾病.中国修复重建外科杂志, 2010, 24(1):1-4.
3.	Malchau H, Herherts P, Eisler T, et al.The Swedish total hip replacement register.J Bone Joint Surg (Am), 2002, 84-A Suppl 2:2-20.
4.	Landor I, Vavrík P, Jahoda D.General principles of infection treatment in joint replacements.Acta Chir Orthop Traumatol Cech, 2005, 72(3):183-190.
5.	Koo KH, Ha YC, Jung WH, et al.Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty.J Bone Joint Surg (Am), 2008, 90(2):329-336.
6.	姜文学, 尤佳, 李轶津, 等.髋关节表面置换术的近期疗效及其并发症分析.中华骨科杂志, 2009, 29(9):858-863.
7.	郝鹏, 裴福兴, 沈彬, 等.全髋关节表面置换治疗成人先天性髋关节发育不良与近期疗效.中国矫形外科杂志, 2006, 14(23):1787-1791.
8.	杨述华, 许伟华, 叶树楠, 等.全髋关节表面置换术的近期疗效观察.中国矫形外科杂志, 2009, 17(19):1452-1454.
9.	Crawford R, Ranawat CS, Rothman RH.Metal on metal:is it worth the risk? J Arthroplasty, 2010, 25(1):1-2.
10.	Amstutz HC, Le Duff MJ, Campbell PA, et al.Clinical and radiographic results of metal-on-metal hip resurfacing with a minimum ten-year follow-up.J Bone Joint Surg (Am), 2010, 92(16):2663-2671.
11.	沈彬, 黄强, 杨静, 等.全髋关节表面置换术治疗髋关节发育不良继发骨关节炎的早期疗效观察.中华骨科杂志, 2010, 30(4):357-362.
12.	尤瑞金, 郑文忠, 陈昆, 等.保留股骨颈人工全髋关节置换术后5年以上随访的临床疗效.实用骨科杂志, 2013, 19(8):702-704, 738.
13.	Byrd JW, Jones KS.Hip arthroscopy in the presence of dysplasia.Arthroscopy, 2003, 19(10):1055-1060.
14.	林月秋, 徐永清, 柏利, 等.无柄人工髋关节置换术的初步临床应用.中华骨科杂志, 2010, 30(6):554-557.
15.	钱本文.无柄髋关节才是真微创(MIS).中国矫形外科杂志, 2006, 14(3):174-176.
16.	费琴明, 洪水棕, 陈统一, 等.无柄解剖形人工髋关节生物力学实验研究.生物医学工程学杂志, 2005, 22(1):104-107.
17.	钱齐荣, 苟三怀, 黄国富, 等.新型无柄人工髋关节生物固定的临床组织学研究.中华临床医药, 2003, 4(2):11-14.
18.	Randelli F, Banci L, D'Anna A, et al.Cemenfless Metasul metal-on-metal total hip arthroplasties at 13 years.J Arthroplasty, 2012, 27(2):186-192.
19.	杨峰, 徐卫东, 赵金柱, 等.改进型Tri-lock骨保留假体的短期临床应用研究.中华关节外科杂志(电子版), 2014, 8(1):38-44.
20.	许伟华, 刘先哲, 张波, 等.短柄全髋关节置换术治疗中青年股骨头坏死患者的近期疗效.中华骨科杂志, 2013, 33(3):200-205.
21.	何志勇, 狄正林, 曾智敏, 等.金属对金属全髋关节表面置换术的近期疗效.中华骨科杂志, 2012, 32(6):533-538.
22.	范梓航, 姚进, 刘凯, 等.无柄人工髋关节置换26例临床报告.中国矫形外科杂志, 2009, 17(19):1512-1514.

1. Liu YE, Hu S, Chan SP, et al.The epidemiology and surgical outcomes of patients undergoing primary total hip replacement:an Asian perspective.Singapore Med J, 2009, 50(1):15-19.
2. 丁少华, 郑慷.保留股骨颈型人工全髋关节置换术治疗中青年髋关节疾病.中国修复重建外科杂志, 2010, 24(1):1-4.
3. Malchau H, Herherts P, Eisler T, et al.The Swedish total hip replacement register.J Bone Joint Surg (Am), 2002, 84-A Suppl 2:2-20.
4. Landor I, Vavrík P, Jahoda D.General principles of infection treatment in joint replacements.Acta Chir Orthop Traumatol Cech, 2005, 72(3):183-190.
5. Koo KH, Ha YC, Jung WH, et al.Isolated fracture of the ceramic head after third-generation alumina-on-alumina total hip arthroplasty.J Bone Joint Surg (Am), 2008, 90(2):329-336.
6. 姜文学, 尤佳, 李轶津, 等.髋关节表面置换术的近期疗效及其并发症分析.中华骨科杂志, 2009, 29(9):858-863.
7. 郝鹏, 裴福兴, 沈彬, 等.全髋关节表面置换治疗成人先天性髋关节发育不良与近期疗效.中国矫形外科杂志, 2006, 14(23):1787-1791.
8. 杨述华, 许伟华, 叶树楠, 等.全髋关节表面置换术的近期疗效观察.中国矫形外科杂志, 2009, 17(19):1452-1454.
9. Crawford R, Ranawat CS, Rothman RH.Metal on metal:is it worth the risk? J Arthroplasty, 2010, 25(1):1-2.
10. Amstutz HC, Le Duff MJ, Campbell PA, et al.Clinical and radiographic results of metal-on-metal hip resurfacing with a minimum ten-year follow-up.J Bone Joint Surg (Am), 2010, 92(16):2663-2671.
11. 沈彬, 黄强, 杨静, 等.全髋关节表面置换术治疗髋关节发育不良继发骨关节炎的早期疗效观察.中华骨科杂志, 2010, 30(4):357-362.
12. 尤瑞金, 郑文忠, 陈昆, 等.保留股骨颈人工全髋关节置换术后5年以上随访的临床疗效.实用骨科杂志, 2013, 19(8):702-704, 738.
13. Byrd JW, Jones KS.Hip arthroscopy in the presence of dysplasia.Arthroscopy, 2003, 19(10):1055-1060.
14. 林月秋, 徐永清, 柏利, 等.无柄人工髋关节置换术的初步临床应用.中华骨科杂志, 2010, 30(6):554-557.
15. 钱本文.无柄髋关节才是真微创(MIS).中国矫形外科杂志, 2006, 14(3):174-176.
16. 费琴明, 洪水棕, 陈统一, 等.无柄解剖形人工髋关节生物力学实验研究.生物医学工程学杂志, 2005, 22(1):104-107.
17. 钱齐荣, 苟三怀, 黄国富, 等.新型无柄人工髋关节生物固定的临床组织学研究.中华临床医药, 2003, 4(2):11-14.
18. Randelli F, Banci L, D'Anna A, et al.Cemenfless Metasul metal-on-metal total hip arthroplasties at 13 years.J Arthroplasty, 2012, 27(2):186-192.
19. 杨峰, 徐卫东, 赵金柱, 等.改进型Tri-lock骨保留假体的短期临床应用研究.中华关节外科杂志(电子版), 2014, 8(1):38-44.
20. 许伟华, 刘先哲, 张波, 等.短柄全髋关节置换术治疗中青年股骨头坏死患者的近期疗效.中华骨科杂志, 2013, 33(3):200-205.
21. 何志勇, 狄正林, 曾智敏, 等.金属对金属全髋关节表面置换术的近期疗效.中华骨科杂志, 2012, 32(6):533-538.
22. 范梓航, 姚进, 刘凯, 等.无柄人工髋关节置换26例临床报告.中国矫形外科杂志, 2009, 17(19):1512-1514.

Chinese Journal of Reparative and Reconstructive Surgery

SHORT-AND MEDIUM-TERM EFFECTIVENESSES OF STEMLESS HIP ARTHROPLASTY FOR TREATING HIP JOINT DISEASE IN YOUNG AND MIDDLE-AGED PATIENTS

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content