ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANGShangzeng ¹ , CHENGShao ² ,  WANGYisheng ¹

1. Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450002, P. R. China;
2. Henan University of Traditional Chinese Medicine;

Corresponding author：

WANGYisheng, Email: whangz74@163.com

Keywords：

Total hip arthroplasty; Central dislocation of the hip joint; Old dislocation

DOI：

10.7507/1002-1892.20160215

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical effect of total hip arthroplasty (THA) in the treatment of old central dislocation of the hip joint. Methods Between January 2010 and June 2014, 21 patients (21 hips) with old central dislocation of the hip joint underwent THA and autologous bone graft for acetabulum reconstruction. There were 13 males and 8 females, aged 60-75 years (mean, 67.4 years). The left hip was involved in 12 cases and the right hip in 9 cases, with a disease course of 1-20 years (mean, 9.6 years). The causes were falling from height in 6 cases, traffic accident in 9 cases, crushing in 4 cases, and others in 2 cases. Hip pain, limited activity, and lameness were the main clinical symptoms. Preoperative Harris score was 32.95±2.06 and visual analogue scale (VAS) was 8.14±0.73. Results Primary healing of incision was obtained in all patients. The patients were followed up 1.9-6.4 years (mean, 4.6 years). The X-ray films showed bone graft fusion at 4-24 months (mean, 12.5 months); there were no complications of grafted bone absorption, osteolysis, and infection. During follow-up, no prosthetic loosening or sinking, and no translucent zones around the prosthesis were observed. Harris score was significantly improved to 87.67±2.01 at 1 week and 92.10±1.95 at 1 year; and VAS score was significantly decreased to 2.57±0.81 at 1 week and 0.19 ±0.51 at 1 year (P < 0.05). Conclusion THA is an effective surgical treatment for old central dislocation of the hip joint, because it can restore normal hip rotation center and reconstruct the hip joint function.

Citation： WANGShangzeng, CHENGShao, WANGYisheng. ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1057-1060. doi: 10.7507/1002-1892.20160215 Copy

1.	史庆轩, 李佩佳, 罗永忠, 等.髋关节置换治疗陈旧性髋臼骨折合并股骨头脱位15例报告.中国矫形外科杂志, 2009, 17(24):1900-1901.
2.	高扬, 王维山, 董金波, 等.非手术治疗髋关节中心性骨折脱位远期疗效观察.中华实用诊断与治疗杂志, 2014, 28(3):234-235, 238.
3.	赏后来, 赵建宁, 王与荣, 等.人工全髋关节置换治疗陈旧性髋臼骨折早期临床研究.中国骨伤, 2012, 25(6):505-508.
4.	Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5):759-767.
5.	张仕凯, 孙俊英, 田家祥, 等.生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效.中国修复重建外科杂志, 2013, 27(2):243-244.
6.	Chaus GW, Heare T. End-stage posttraumatic osteoarthritis treated with THA in osteogenesis imperfect. Orthopedics, 2012, 35(6):e950-953.
7.	Matta JM, Anderson LM, Epstein HC, et al. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res, 1986, (205):230-240.
8.	章军辉, 凌晶, 刘华, 等.人工全髋关节置换术治疗髋臼骨折继发创伤性关节炎近期疗效观察.中国修复重建外科杂志, 2013, 27(8):990-993.
9.	Weber M, Berry DJ, Harmsen WS. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9):1295-1305.
10.	丛宇, 赵建宁.全髋关节置换术中假体周围骨折的研究进展.中国骨伤, 2011, 24(2):178-181.
11.	Amstutz HC. Fixation failure and techniques of revision surgery in total replacement. Instr Course Lect, 1981, 30:414-421.
12.	曹林虎, 谭伦, 林旭, 等.非骨水泥人工全髋关节置换术中髋臼骨缺损重建方式选择及对臼杯位置影响的研究.中国修复重建外科杂志, 2015, 29(6):693-699.
13.	邹宏, 陈玉龙, 弋石泉, 等.髋臼骨折延期人工髋关节置换术的临床观察.四川医学, 2013, 34(5):689-692.
14.	Slooff TJ, Huiskes R, van Horn J, et al. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand, 1984, 55(6):593-596.
15.	Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92, 675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5):497-506.
16.	孙永强, 艾进伟, 曹玉净, 等.一期人工全髋关节置换治疗髋臼骨折合并股骨头颈骨折.中国修复重建外科杂志, 2010, 24(2):251-252.
17.	任鹏, 柴伟, 周勇刚, 等.人工全髋关节置换治疗CroweⅡ、Ⅲ型发育性髋关节发育不良——非骨水泥臼杯高旋转中心安放的短期随访结果.中华骨与关节外科杂志, 2015, 8(2):145-150.
18.	张勇, 朱振安, 朱明生. CroweⅡ/Ⅲ型髋关节发育不良继发重度骨关节炎髋臼解剖旋转中心重建方法及效果.中华关节外科杂志(电子版), 2016, 10(4):393-398.

1. 史庆轩, 李佩佳, 罗永忠, 等.髋关节置换治疗陈旧性髋臼骨折合并股骨头脱位15例报告.中国矫形外科杂志, 2009, 17(24):1900-1901.
2. 高扬, 王维山, 董金波, 等.非手术治疗髋关节中心性骨折脱位远期疗效观察.中华实用诊断与治疗杂志, 2014, 28(3):234-235, 238.
3. 赏后来, 赵建宁, 王与荣, 等.人工全髋关节置换治疗陈旧性髋臼骨折早期临床研究.中国骨伤, 2012, 25(6):505-508.
4. Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5):759-767.
5. 张仕凯, 孙俊英, 田家祥, 等.生物型人工全髋关节置换术治疗青年强直性脊柱炎髋关节病变的中期疗效.中国修复重建外科杂志, 2013, 27(2):243-244.
6. Chaus GW, Heare T. End-stage posttraumatic osteoarthritis treated with THA in osteogenesis imperfect. Orthopedics, 2012, 35(6):e950-953.
7. Matta JM, Anderson LM, Epstein HC, et al. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res, 1986, (205):230-240.
8. 章军辉, 凌晶, 刘华, 等.人工全髋关节置换术治疗髋臼骨折继发创伤性关节炎近期疗效观察.中国修复重建外科杂志, 2013, 27(8):990-993.
9. Weber M, Berry DJ, Harmsen WS. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9):1295-1305.
10. 丛宇, 赵建宁.全髋关节置换术中假体周围骨折的研究进展.中国骨伤, 2011, 24(2):178-181.
11. Amstutz HC. Fixation failure and techniques of revision surgery in total replacement. Instr Course Lect, 1981, 30:414-421.
12. 曹林虎, 谭伦, 林旭, 等.非骨水泥人工全髋关节置换术中髋臼骨缺损重建方式选择及对臼杯位置影响的研究.中国修复重建外科杂志, 2015, 29(6):693-699.
13. 邹宏, 陈玉龙, 弋石泉, 等.髋臼骨折延期人工髋关节置换术的临床观察.四川医学, 2013, 34(5):689-692.
14. Slooff TJ, Huiskes R, van Horn J, et al. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand, 1984, 55(6):593-596.
15. Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92, 675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5):497-506.
16. 孙永强, 艾进伟, 曹玉净, 等.一期人工全髋关节置换治疗髋臼骨折合并股骨头颈骨折.中国修复重建外科杂志, 2010, 24(2):251-252.
17. 任鹏, 柴伟, 周勇刚, 等.人工全髋关节置换治疗CroweⅡ、Ⅲ型发育性髋关节发育不良——非骨水泥臼杯高旋转中心安放的短期随访结果.中华骨与关节外科杂志, 2015, 8(2):145-150.
18. 张勇, 朱振安, 朱明生. CroweⅡ/Ⅲ型髋关节发育不良继发重度骨关节炎髋臼解剖旋转中心重建方法及效果.中华关节外科杂志(电子版), 2016, 10(4):393-398.

Next Article
USE OF SMARTPHONE IN ACETABULAR COMPONENT ANGLE MEASUREMENT DURING TOTAL HIP ARTHROPLASTY

Chinese Journal of Reparative and Reconstructive Surgery

ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT

Abstract Full text Figures/Tables Video References Cited by

Next Article

Format

Content