The Journal of Bone and Joint Surgery, Vol 67, Issue 9 1328-1335, Copyright © 1985 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Hip arthrodesis. A long-term follow-up

JJ Callaghan, RA Brand and DR Pedersen

In a retrospective study, we examined twenty-eight patients who had had an arthrodesis seventeen to fifty years previously (average, thirty-five years). Hip and knee ratings were obtained, as well as anteroposterior and flexion-extension radiographs of the lumbar spine and standing anteroposterior radiographs of the knees and hips. About 60 per cent of the patients had pain in the ipsilateral knee (average time to onset, twenty-three years after arthrodesis), and a similar percentage had back pain (average time to onset, twenty-five years after the operation). Pain in the contralateral hip occurred in approximately 25 per cent of the patients (average time to onset, twenty years after arthrodesis). Only one patient was unemployed due to disabling pain in the back or knee. Seventy per cent of the patients could walk more than one mile (1.6 kilometers), and a similar percentage could sit comfortably for at least two hours. Seventy-five per cent of the patients had anteroposterior laxity of the ipsilateral knee, and 80 per cent had mediolateral laxity. The patients whose hip was fused in some abduction more frequently had pain in the ipsilateral knee and the back, and they had greater degenerative changes in the ipsilateral knee than the patients whose hip was fused in adduction or in the neutral position. Six patients had undergone total hip arthroplasty for pain in the back or the ipsilateral knee, or both, and all had marked relief of back pain, while two of four had relief of pain in the knee. Two patients had a total knee arthroplasty for relief of pain in the ipsilateral knee.
CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				S. R. Rozbruch, D. Paley, A. Bhave, and J. E. Herzenberg Ilizarov Hip Reconstruction for the Late Sequelae of Infantile Hip Infection J. Bone Joint Surg. Am., May 1, 2005; 87(5): 1007 - 1018. [Abstract] [Full Text] [PDF]

				J. Sanchez-Sotelo, R. T. Trousdale, D. J. Berry, and M. E. Cabanela Surgical Treatment of Developmental Dysplasia of the Hip in Adults: I. Nonarthroplasty Options J. Am. Acad. Ortho. Surg., September 1, 2002; 10(5): 321 - 333. [Abstract] [Full Text] [PDF]

				A. B. Joshi, L. Markovic, K. Hardinge, and J. C.M. Murphy Conversion of a Fused Hipto Total Hip Arthroplasty J. Bone Joint Surg. Am., August 12, 2002; 84(8): 1335 - 1341. [Abstract] [Full Text] [PDF]

				P. E. Beaule, J. M. Matta, and J. W. Mast Hip Arthrodesis: Current Indications and Techniques J. Am. Acad. Ortho. Surg., July 1, 2002; 10(4): 249 - 258. [Abstract] [Full Text] [PDF]

				Y. Hasegawa, T. Iwase, S. Kitamura, K.-i. Yamauchi, S. Sakano, and H. Iwata Eccentric Rotational Acetabular Osteotomy for Acetabular Dysplasia : Follow-up of One Hundred and Thirty-two Hips for Five to Ten Years J. Bone Joint Surg. Am., March 1, 2002; 84(3): 404 - 410. [Abstract] [Full Text]

				M. Hamadouche, L. Kerboull, A. Meunier, J. P. Courpied, and M. Kerboull Total Hip Arthroplasty for the Treatment of Ankylosed Hips : A Five to Twenty-one-Year Follow-up Study J. Bone Joint Surg. Am., July 1, 2001; 83(7): 992 - 998. [Abstract] [Full Text] [PDF]

				G. M. Robbins, B. A. Masri, D. S. Garbuz, and C. P. Duncan Primary Total Hip Arthroplasty After Infection J. Bone Joint Surg. Am., April 1, 2001; 83(4): 601 - 601. [Full Text]

				L. M. Coester, C. L. Saltzman, J. Leupold, and W. Pontarelli Long-Term Results Following Ankle Arthrodesis for Post-Traumatic Arthritis J. Bone Joint Surg. Am., February 1, 2001; 83(2): 219 - 219. [Abstract] [Full Text]

				R W CRAWFORD and D W MURRAY Total hip replacement: indications for surgery and risk factors for failure Ann Rheum Dis, August 1, 1997; 56(8): 455 - 457. [Full Text]

				M. E. TORCHIA, R. A. KLASSEN, and A. J. BIANCO Total Hip Arthroplasty with Cement in Patients Less Than Twenty Years Old. Long-Term Results J. Bone Joint Surg. Am., July 1, 1996; 78(7): 995 - 1003. [Abstract] [Full Text]