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

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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				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]

				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]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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. [Abstract] [Full Text] [PDF]

				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]