EFFECTIVENESS OF ANATOMIC FEMORAL COMPONENT PROSTHESIS FOR SEVERE DEVELOPMENTAL DYSPLASIA OF THE HIP IN TOTAL HIP ARTHROPLASTY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ANXiao ,  DONGJiyuan , GONGKe , ZHANGQi , LIXiang , SONGWei

Department of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, P. R. China;

Corresponding author：

DONGJiyuan, Email: dongjiyuan81301@163.com

Keywords：

Developmental dysplasia of the hip; Total hip arthroplasty; Anatomic femoral component prosthesis

DOI：

10.7507/1002-1892.20150093

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effectiveness of anatomic femoral component prosthesis for severe development dysplasia of the hip (DDH) in total hip arthroplasty (THA). Methods Between September 2009 and September 2013, 48 patients (51 hips) with severe DDH underwent THA with cementless anatomic femoral component prosthesis. There were 5 males (5 hips) and 43 females (46 hips) with an average age of 51 years (range, 28-67 years). The left hip was involved in 25 cases, the right hip in 20 cases, and bilateral hips in 3 cases. There were 39 cases (44 hips) of Crowe type Ⅲ and 9 cases (7 hips) of Crowe type ⅠV. The visual analogue scale (VAS) score was 5.72±1.84, and Harris score was 41.66±4.87 at preoperation. All patients had leg discrepancy with a length difference of (4.31±0.84) cm. Results The duration of surgery was 59-110 minutes (mean, 78.6 minutes), and the hospitalization days were 6-20 days (mean, 12.3 days). All patients obtained primary healing of incision without wound related complications of swelling, effusion, and infection. Two patients were found to have intramuscular venous thrombosis. All patients were followed up 10-54 months (mean, 29 months). Limp was observed at the early stage after operation in 9 patients and disappeared after 1 year, the other patients had normal gait. The VAS score 1.46±0.47, Harris score 88.66±3.48, and the leg length difference (1.15±0.33) cm at last follow-up all showed significant differences when compared with the preoperative values (P<0.05). No prosthesis loosening or subsidence, heterotopic ossification, dislocation, and infection occurred. Conclusion Anatomic femoral component prosthesis for severe DDH in THA can relieve pain, and improve the hip joint function and limb discrepancy. Short-term effectiveness was satisfactory, but the long-term effectiveness should still be observed in future.

Citation： ANXiao, DONGJiyuan, GONGKe, ZHANGQi, LIXiang, SONGWei. EFFECTIVENESS OF ANATOMIC FEMORAL COMPONENT PROSTHESIS FOR SEVERE DEVELOPMENTAL DYSPLASIA OF THE HIP IN TOTAL HIP ARTHROPLASTY. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(4): 431-434. doi: 10.7507/1002-1892.20150093 Copy

1.	朱建辛, 王跃, 庞健, 等. 人工全髋关节置换术治疗重度成人髋关节发育不良疗效分析. 中国修复重建外科杂志, 2014, 28(3):335-338.
2.	宋立明, 张铁良, 毕晓扬, 等. 严重髋关节发育不良的全髋关节置换术. 中华骨科杂志, 2010, 30(2):159-164.
3.	彭昊, 陈森, 郑慧锋, 等. 生物型假体全髋关节置换术治疗成人髋关节发育不良继发骨关节炎的疗效评价. 中国矫形外科杂志, 2013, 21(15):1502-1507.
4.	Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465):40-45.
5.	Nakamura Y, Mitsui H, Kikuchi A, et al. Total hip arthroplasty using a cylindrical cementless stem in patients with a small physique. J Arthroplasty, 2011, 26(1):77-81.
6.	Faldini C, Miscione MT, Chehrassan M, et al. Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years ol:results after 12-years follow-up. J Orthop Traumatol, 2011, 12(4):213-218.
7.	Biant LC, Bruce WJ, Assini JB, et al. Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplasty, 2009, 24(1):27-32.
8.	Tamegai H, Otani T, Fujii H, et al. A modified S-ROM stem in primary total hip arthroplasty for developmental dysplasia of the hip. J Arthroplasty, 2013, 28 (10):1741-1745.
9.	Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg (Br), 1987, 69(1):45-55.
10.	Hodgkinson JP, Shelly P, Wroblewski BM. The correlation between the roentgenographic apperance and operative findings at the bone-cement junction of socket in Charnley low friction arthroplasties. Clin Orthop Relat Res, 1988, (228):105-109.
11.	Brooker A, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg (Am), 1973, 55(8):1629-1632.
12.	Gruen TA, McNeice GM, Amstutz HC. "Modes of failure" of cemented stem-type femoral components:a radiographic analysis of loosening. Clin Orthop Relat Re, 1979, (141):17-27.
13.	周建生, 王志岩, 官建中, 等. 成人髋关节发育不良髋臼解剖学特征及临床意义. 中华解剖与临床杂志, 2014, 19(1):2-6.
14.	Flecher X, PmTatte S, Brassart N, et al. Evaluation of the hip center in total hip arthroplasty for old developmental dysplasia. J Arthroplasty, 2008, 23(8):1189-1196.
15.	Stans AA, Pagnano MW, Shghnessy WJ, et al. Results of total hip arthroplasty for Crowe Type Ⅲ development hip dydplasia. Clinc Orthop Relat Res, 1998, (348):149-157.
16.	周耀辉, 黄文雅, 罗永发, 等. 全髋关节置换术在先天性髋臼发育不良继发骨性关节炎的应用. 中国伤残医学, 2013, 21(4):5-7.
17.	Saito S, Ishii T, Mori S, et al. Long-term results of bulk femoral head autograft in cementless THA for developmental hip dysplasia. Orthopedics, 2011, 34(2):88.
18.	Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465):40-45.
19.	曹寅生, 卢敏, 姚共和, 等. 生物型全髋关节置换术治疗成人髋关节发育不良29例回顾性分析. 中国骨伤, 2013, 26(11):962-965.
20.	刘明, 王岩, 陈继营, 等. 1436髋Ribbed假体单中心应用分析. 中国矫形外科杂志, 2008, 16(14):1051-1053.
21.	蒋毅, 周一新, 郭盛杰, 等. 应用羟基磷灰石喷涂解剖型股骨假体的中期随访结果. 中华骨科杂志, 2009, 29(10):901-904.

1. 朱建辛, 王跃, 庞健, 等. 人工全髋关节置换术治疗重度成人髋关节发育不良疗效分析. 中国修复重建外科杂志, 2014, 28(3):335-338.
2. 宋立明, 张铁良, 毕晓扬, 等. 严重髋关节发育不良的全髋关节置换术. 中华骨科杂志, 2010, 30(2):159-164.
3. 彭昊, 陈森, 郑慧锋, 等. 生物型假体全髋关节置换术治疗成人髋关节发育不良继发骨关节炎的疗效评价. 中国矫形外科杂志, 2013, 21(15):1502-1507.
4. Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465):40-45.
5. Nakamura Y, Mitsui H, Kikuchi A, et al. Total hip arthroplasty using a cylindrical cementless stem in patients with a small physique. J Arthroplasty, 2011, 26(1):77-81.
6. Faldini C, Miscione MT, Chehrassan M, et al. Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years ol:results after 12-years follow-up. J Orthop Traumatol, 2011, 12(4):213-218.
7. Biant LC, Bruce WJ, Assini JB, et al. Primary total hip arthroplasty in severe developmental dysplasia of the hip. Ten-year results using a cementless modular stem. J Arthroplasty, 2009, 24(1):27-32.
8. Tamegai H, Otani T, Fujii H, et al. A modified S-ROM stem in primary total hip arthroplasty for developmental dysplasia of the hip. J Arthroplasty, 2013, 28 (10):1741-1745.
9. Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg (Br), 1987, 69(1):45-55.
10. Hodgkinson JP, Shelly P, Wroblewski BM. The correlation between the roentgenographic apperance and operative findings at the bone-cement junction of socket in Charnley low friction arthroplasties. Clin Orthop Relat Res, 1988, (228):105-109.
11. Brooker A, Bowerman JW, Robinson RA, et al. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg (Am), 1973, 55(8):1629-1632.
12. Gruen TA, McNeice GM, Amstutz HC. "Modes of failure" of cemented stem-type femoral components:a radiographic analysis of loosening. Clin Orthop Relat Re, 1979, (141):17-27.
13. 周建生, 王志岩, 官建中, 等. 成人髋关节发育不良髋臼解剖学特征及临床意义. 中华解剖与临床杂志, 2014, 19(1):2-6.
14. Flecher X, PmTatte S, Brassart N, et al. Evaluation of the hip center in total hip arthroplasty for old developmental dysplasia. J Arthroplasty, 2008, 23(8):1189-1196.
15. Stans AA, Pagnano MW, Shghnessy WJ, et al. Results of total hip arthroplasty for Crowe Type Ⅲ development hip dydplasia. Clinc Orthop Relat Res, 1998, (348):149-157.
16. 周耀辉, 黄文雅, 罗永发, 等. 全髋关节置换术在先天性髋臼发育不良继发骨性关节炎的应用. 中国伤残医学, 2013, 21(4):5-7.
17. Saito S, Ishii T, Mori S, et al. Long-term results of bulk femoral head autograft in cementless THA for developmental hip dysplasia. Orthopedics, 2011, 34(2):88.
18. Argenson JN, Flecher X, Parratte S, et al. Anatomy of the dysplastic hip and consequences for total hip arthroplasty. Clin Orthop Relat Res, 2007, (465):40-45.
19. 曹寅生, 卢敏, 姚共和, 等. 生物型全髋关节置换术治疗成人髋关节发育不良29例回顾性分析. 中国骨伤, 2013, 26(11):962-965.
20. 刘明, 王岩, 陈继营, 等. 1436髋Ribbed假体单中心应用分析. 中国矫形外科杂志, 2008, 16(14):1051-1053.
21. 蒋毅, 周一新, 郭盛杰, 等. 应用羟基磷灰石喷涂解剖型股骨假体的中期随访结果. 中华骨科杂志, 2009, 29(10):901-904.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF ANATOMIC FEMORAL COMPONENT PROSTHESIS FOR SEVERE DEVELOPMENTAL DYSPLASIA OF THE HIP IN TOTAL HIP ARTHROPLASTY

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content