Effect of surgical approach for contralateral side hip arthroplasty in below knee amputees: a retrospective cohort study

Autor: Ho-Wook Wee, Jung-Ryul Kim, Hyun-Ju Lee, Kyu-Bok Kang, Jae-Woong Seo, Hong-Man Cho, Sun-Do Kim
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
lcsh:Diseases of the musculoskeletal system
Time Factors
medicine.medical_treatment
Arthroplasty
Replacement
Hip
Periprosthetic
Osteoarthritis
Disability Evaluation
0302 clinical medicine
Postoperative Complications
Risk Factors
Activities of Daily Living
Medicine
Orthopedics and Sports Medicine
Gluteus medius muscle
Aged
80 and over
030222 orthopedics
Below knee amputation
Middle Aged
Biomechanical Phenomena
Treatment Outcome
Hip arthroplasty
Female
Hip Joint
Research Article
medicine.medical_specialty
WOMAC
Amputation
Surgical
03 medical and health sciences
Rheumatology
Humans
Knee
Muscle Strength
Muscle
Skeletal
Aged
Retrospective Studies
030203 arthritis & rheumatology
Approach
business.industry
Retrospective cohort study
Recovery of Function
medicine.disease
Surgery
Amputation
Harris Hip Score
Orthopedic surgery
Hip Prosthesis
lcsh:RC925-935
business
Zdroj: BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-11 (2019)
ISSN: 1471-2474
Popis: Background The gluteus medius muscle plays a very important role in the stability of the gait, especially in patients with amputation of the lower limbs. Therefore, choosing the appropriate type of approach for hip arthroplasty is very important. Hence, this study aimed to compare the outcomes and complications between the anterolateral approach (ALA) and posterior approach (PA) for hip arthroplasty in patients with contralateral below knee amputation. Methods From January 1999 to November 2014, 67 patients who underwent hip arthroplasty with contralateral below knee amputation were retrospectively analyzed. The study subjects were divided into two groups: the PA group (33 cases) and the ALA group (34 cases). The results of the clinical functional recovery with Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Harris Hip Score, and activity of daily living scale were compared between the two groups. During the follow-up period, complications related to gait such as fall, dislocation, and periprosthetic fractures (PPFs) were investigated. Results The Harris Hip Score (p = 0.024) and the activity of the daily living scale (p = 0.043) of the ALA group were significantly lower at 3 months compared to the PA group, but no significant difference was observed between the two groups from 6 months postoperatively to the last follow-up. The WOMAC score was not significantly different between the two groups. Within 3 months after surgery, falls occurred in 3 cases in the PA group and in 11 cases in the ALA group (p = 0.019) Dislocation and PPF were caused by prosthesis-related trauma. Two dislocations and 1 PPF occurred 8 years postoperatively in the PA group. PPF occurred in 3 patients in the ALA group, of which 2 occurred within 3 months after surgery. Conclusion Orthopedic surgeons should pay particular attention in patients with hip arthroplasty on the contralateral side hip who had below knee amputation because functional recovery is delayed until 3 months after ALA compared with PA.
Databáze: OpenAIRE
Externí odkaz: