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Journal of Bone and Joint Surgery, 1969;51:737-755.
© 1969 by The Journal of Bone and Joint Surgery, Inc


Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures: Treatment by Mold Arthroplasty

AN END-RESULT STUDY USING A NEW METHOD OF RESULT EVALUATION

WILLIAM H. HARRIS M.D.1

1 From the Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston

An end-result analysis is presented of thirty-nine mold arthroplasties performed at the Massachusetts General Hospital between 1945 and 1965 in thirty-eight consecutive private patients for arthritis of the hip following fractures of the acetabulum or dislocations of the hip.

Of the nineteen unilateral cases in the second half of the series, sixteen were rated good or excellent. Results in the second half of the series were significantly better statistically than those in the first half of the series. Possible reasons for this improvement are discussed.

No significant deterioration occurred with the passage of time. Among the thirty-nine hips, three revisions were required. One patient had postoperative sepsis after arthroplasty. Four patients who had had intra-articular sepsis prior to arthroplasty showed no evidence of sepsis postoperatively.

Factors influencing the choice between hip fusion and hip arthroplasty in these cases are presented.

A new system for rating hip function is proposed and is compared with the systems of Larson and Shepherd.


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C. Hendrich, I. Mehling, U. Sauer, S. Kirschner, and J.M. Martell
Cementless Acetabular Reconstruction and Structural Bone-Grafting in Dysplastic Hips
J. Bone Joint Surg. Am., February 1, 2006; 88(2): 387 - 394.
[Abstract] [Full Text] [PDF]


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J Bone Joint Surg BrHome page
P. T. de Jong, D. Haverkamp, H. M. van der Vis, and R. K. Marti
Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: A LONG-TERM FOLLOW-UP
J Bone Joint Surg Br, February 1, 2006; 88-B(2): 173 - 178.
[Abstract] [Full Text] [PDF]


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A. Eskelinen, I. Helenius, V. Remes, P. Ylinen, K. Tallroth, and T. Paavilainen
Cementless Total Hip Arthroplasty in Patients with High Congenital Hip Dislocation
J. Bone Joint Surg. Am., January 1, 2006; 88(1): 80 - 91.
[Abstract] [Full Text] [PDF]


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J.-W. Wang, L.-K. Chen, and C.-E. Chen
Surgical Treatment of Fractures of the Greater Trochanter Associated with Osteolytic Lesions
J. Bone Joint Surg. Am., December 1, 2005; 87(12): 2724 - 2728.
[Abstract] [Full Text] [PDF]


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H. A. Rudiger, C. Dora, B. Bode-Lesniewska, and G. U. Exner
Extra-Articular Resection of the Hip with a Posterior Column-Preserving Technique for Treatment of an Intra-Articular Malignant Lesion. A Report of Two Cases
J. Bone Joint Surg. Am., December 1, 2005; 87(12): 2768 - 2774.
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T. L. Bernasek and E. A. Rommel
Complex Total Hip Replacement in a Patient with Epidermolytic Hyperkeratosis. A Case Report
J. Bone Joint Surg. Am., December 1, 2005; 87(12): 2775 - 2779.
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N. P. Badhe and P. W. Howard
A stemmed acetabular component in the management of severe acetabular deficiency
J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1611 - 1616.
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J Bone Joint Surg BrHome page
K. O'Shea, J. F. Quinlan, S. Kutty, D. Mulcahy, and O. H. Brady
The use of uncemented extensively porous-coated femoral components in the management of Vancouver B2 and B3 periprosthetic femoral fractures
J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1617 - 1621.
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J Bone Joint Surg BrHome page
N. P. Hailer, L. Soykaner, H. Ackermann, and M. Rittmeister
Triple osteotomy of the pelvis for acetabular dysplasia: AGE AT OPERATION AND THE INCIDENCE OF NONUNIONS AND OTHER COMPLICATIONS INFLUENCE OUTCOME
J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1622 - 1626.
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J Bone Joint Surg BrHome page
M. M. Mullins, M. Sood, A. Hashemi-Nejad, and A. Catterall
The management of avascular necrosis after slipped capital femoral epiphysis
J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1669 - 1674.
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C.-J. Wang, F.-S. Wang, C.-C. Huang, K. D. Yang, L.-H. Weng, and H.-Y. Huang
Treatment for Osteonecrosis of the Femoral Head: Comparison of Extracorporeal Shock Waves with Core Decompression and Bone-Grafting
J. Bone Joint Surg. Am., November 1, 2005; 87(11): 2380 - 2387.
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J. H. M. Goosen, C. C. P. M. Verheyen, and N. J. A. Tulp
Mid-term wear characteristics of an uncemented acetabular component
J Bone Joint Surg Br, November 1, 2005; 87-B(11): 1475 - 1479.
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S.-Y. Kim, Y.-G. Kim, and J.-K. Hwang
Cementless Calcar-Replacement Hemiarthroplasty Compared with Intramedullary Fixation of Unstable Intertrochanteric Fractures. A Prospective, Randomized Study
J. Bone Joint Surg. Am., October 1, 2005; 87(10): 2186 - 2192.
[Abstract] [Full Text] [PDF]


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M. Majewski, H. A. Bischoff-Ferrari, C. Gruneberg, W. Dick, and J. H. J. Allum
Improvements in balance after total hip replacement
J Bone Joint Surg Br, October 1, 2005; 87-B(10): 1337 - 1343.
[Abstract] [Full Text] [PDF]


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J Bone Joint Surg BrHome page
M. Sundberg, J. Besjakov, T. von Schewelow, and A. Carlsson
Movement patterns of the C-stem femoral component: AN RSA STUDY OF 33 PRIMARY TOTAL HIP ARTHROPLASTIES FOLLOWED FOR TWO YEARS
J Bone Joint Surg Br, October 1, 2005; 87-B(10): 1352 - 1356.
[Abstract] [Full Text] [PDF]


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P. J. Walmsley, M. B. Kelly, R. M. F. Hill, and I. Brenkel
A prospective, randomised, controlled trial of the use of drains in total hip arthroplasty
J Bone Joint Surg Br, October 1, 2005; 87-B(10): 1397 - 1401.
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K. J. Saleh, K. J. Mulhall, B. Bershadsky, H. M. Ghomrawi, L. E. White, C. M. Buyea, and K. A. Krackow
Development and Validation of a Lower-Extremity Activity Scale. Use for Patients Treated with Revision Total Knee Arthroplasty
J. Bone Joint Surg. Am., September 1, 2005; 87(9): 1985 - 1994.
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S.-Y. Kim, Y.-G. Kim, P.-T. Kim, J.-C. Ihn, B.-C. Cho, and K.-H. Koo
Vascularized Compared with Nonvascularized Fibular Grafts for Large Osteonecrotic Lesions of the Femoral Head
J. Bone Joint Surg. Am., September 1, 2005; 87(9): 2012 - 2018.
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M. Pospischill and K. Knahr
Cementless total hip arthroplasty using a threaded cup and a rectangular tapered stem: FOLLOW-UP FOR TEN TO 17 YEARS
J Bone Joint Surg Br, September 1, 2005; 87-B(9): 1210 - 1215.
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Y.-H. Kim
Comparison of Polyethylene Wear Associated with Cobalt-Chromium and Zirconia Heads After Total Hip Replacement. A Prospective, Randomized Study
J. Bone Joint Surg. Am., August 1, 2005; 87(8): 1769 - 1776.
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G. R. Klein, J. Parvizi, V. Rapuri, C. F. Wolf, W. J. Hozack, P. F. Sharkey, and J. J. Purtill
Proximal Femoral Replacement for the Treatment of Periprosthetic Fractures
J. Bone Joint Surg. Am., August 1, 2005; 87(8): 1777 - 1781.
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C. J. D. Valle, T. Shuaipaj, R. A. Berger, A. G. Rosenberg, S. Shott, J. J. Jacobs, and J. O. Galante
Revision of the Acetabular Component without Cement After Total Hip Arthroplasty. A Concise Follow-up, at Fifteen to Nineteen Years, of a Previous Report
J. Bone Joint Surg. Am., August 1, 2005; 87(8): 1795 - 1800.
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R. Raman, R. P. Kamath, A. Parikh, and P. D. Angus
Revision of cemented hip arthroplasty using a hydroxyapatite-ceramic-coated femoral component
J Bone Joint Surg Br, August 1, 2005; 87-B(8): 1061 - 1067.
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G. Morag, P. Zalzal, B. Liberman, O. Safir, M. Flint, and A. E. Gross
Outcome of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip
J Bone Joint Surg Br, August 1, 2005; 87-B(8): 1068 - 1072.
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B. Unver, V. Karatosun, and I. Gunal
Assessing the results of thrust plate prosthesis: a comparison of four different rating systems
Clinical Rehabilitation, June 1, 2005; 19(6): 654 - 658.
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Y.-G. Kim, S.-Y. Kim, S.-J. Kim, B.-C. Park, P.-T. Kim, and J.-C. Ihn
The use of cementless expansion acetabular component and an alumina-polyethylene bearing in total hip arthroplasty for osteonecrosis
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 776 - 780.
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A. Eren, H. Omeroglu, M. Guven, E. Ugutmen, and F. Altintas
Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 790 - 795.
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J Bone Joint Surg BrHome page
K. Nagarajah, N. Aslam, P. McLardy Smith, and M. McNally
Iliofemoral distraction and hip reconstruction for the sequelae of a septic dislocated hip with chronic femoral osteomyelitis
J Bone Joint Surg Br, June 1, 2005; 87-B(6): 863 - 866.
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Y.-H. Kim
Long-term results of the cementless porous-coated anatomic total hip prosthesis
J Bone Joint Surg Br, May 1, 2005; 87-B(5): 623 - 627.
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M. Ikeuchi, T. Kawakami, K. Kitaoka, Y. Okanoue, and T. Tani
Total hip arthroplasty with a sliding iliac graft for acetabular dysplasia
J Bone Joint Surg Br, May 1, 2005; 87-B(5): 635 - 639.
[Abstract] [Full Text] [PDF]