Total hip replacement in patients with multiple epiphyseal dysplasia with a mean follow-up of 15 years and survival analysis
| Autor: | H.U. Cameron, Y. Kosashvili, R. Ramaswamy |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
musculoskeletal diseases
Adult Reoperation medicine.medical_specialty Adolescent medicine.medical_treatment Arthroplasty Replacement Hip Osteoarthritis Osteochondrodysplasias Osteoarthritis Hip Multiple epiphyseal dysplasia Young Adult medicine Humans Orthopedics and Sports Medicine Family history Survival analysis Hip surgery Anthropometry business.industry Middle Aged medicine.disease Arthroplasty Confidence interval Surgery Pedigree Prosthesis Failure Radiography Treatment Outcome Orthopedic surgery business Epidemiologic Methods |
| Zdroj: | The Journal of bone and joint surgery. British volume. 92(4) |
| ISSN: | 2044-5377 |
| Popis: | The hip joint is commonly involved in multiple epiphyseal dysplasia and patients may require total hip replacement before the age of 30 years. We retrospectively reviewed nine patients (16 hips) from four families. The diagnosis of multiple epiphyseal dysplasia was based on a family history, genetic counselling, clinical features and radiological findings. The mean age at surgery was 32 years (17 to 63), with a mean follow-up of 15.9 years (5.5 to 24). Of the 16 hips, ten required revision at a mean of 12.5 years (5 to 15) consisting of complete revision of the acetabular component in three hips and isolated exchange of the liner in seven. No femoral component has loosened or required revision during the period of follow-up. With revision for any reason, the 15-year survival was only 11.4% (95% confidence interval 1.4 to 21.4). However, when considering revision of the acetabular shell in isolation the survival at ten years was 93.7% (95% confidence interval 87.7 to 99.7), reducing to 76.7% (95% confidence interval 87.7 to 98.7) at 15 and 20 years, respectively. |
| Databáze: | OpenAIRE |
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