Acetabular reconstruction in patients with low and high dislocation
| Autor: | George Hartofilakidis, Kalliopi Lampropoulou-Adamidou, Th. Karachalios, Nikolaos Roidis |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Scoring system Arthroplasty Replacement Hip Radiography Young Adult Postoperative Complications medicine Humans Orthopedics and Sports Medicine In patient Hip Dislocation Congenital Aged Aged 80 and over Bone Transplantation business.industry Impaction Acetabular reconstruction Acetabulum Middle Aged Confidence interval Prosthesis Failure Surgery Survival Rate Treatment Outcome Female Hip Joint Hip Prosthesis Aseptic processing business Follow-Up Studies |
| Zdroj: | The Bone & Joint Journal. :887-892 |
| ISSN: | 2049-4408 2049-4394 |
| DOI: | 10.1302/0301-620x.95b7.31216 |
| Popis: | We report the results at a mean of 24.3 years (20 to 32) of 61 previously reported consecutive total hip replacements carried out on 44 patients with severe congenital hip disease, performed with reconstruction of the acetabulum with an impaction grafting technique known as cotyloplasty. The mean age of the patients at operation was 46.7 years (23 to 68) and all were women. The patients were followed post-operatively for a mean of 24.3 years (20 to 32), using the Merle d’Aubigné and Postel scoring system as modified by Charnley, and with serial radiographs. At the time of the latest follow-up, 28 acetabular components had been revised because of aseptic loosening at a mean of 15.9 years (6 to 26), and one at 40 days after surgery because of repeated dislocations. The overall survival rate for aseptic failure of the acetabular component at ten years was 93.1% (95% confidence interval (CI) 86.5 to 96.7) when 53 hips were at risk, and at 23 years was 56.1% (95% CI 49.4 to 62.8), when 22 hips remained at risk. These long-term results are considered satisfactory for the reconstruction of an acetabulum presenting with inadequate bone stock and circumferential segmental defects.Cite this article: Bone Joint J 2013;95-B:887–92. |
| Databáze: | OpenAIRE |
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