This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by MACKENZIE, J. R.
Right arrow Articles by JOHNSTON, R. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MACKENZIE, J. R.
Right arrow Articles by JOHNSTON, R. C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 78:55-61 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Total Hip Replacement for Coxarthrosis Secondary to Congenital Dysplasia and Dislocation of the Hip. Long-Term Results*

JAMES R. MACKENZIE, M.D., F.R.C.S.(C){dagger}, SCOTT S. KELLEY, M.D.{ddagger} and RICHARD C. JOHNSTON, M.D.§, DES MOINES, IOWA

Investigation performed at the Iowa Methodist Medical Center, Des Moines

Between 1970 and 1982, sixty-six total hip replacements were performed with cement, without bone-grafting, in fifty-three patients who had congenital dysplasia and dislocation of the hip. Preoperatively, the patients had had Crowe type-II, III, or IV subluxation. Current information was available for fifty-nine hips in forty-six patients after an average duration of follow-up of sixteen years (range, ten to twenty-one years). The average age of the patients at the time of the operation was fifty-three years (range, twenty-three to seventy-three years). The average Harris hip score at the most recent examination was 92 points (range, 61 to 100 points). Eight hips were revised. The reason for the revision was infection in two hips, fracture of the femoral stem in two, and loosening of the acetabular component in four. The rate of revision for aseptic loosening, therefore, was 10 per cent (six hips). In the unrevised hips for which radiographs were available, the rate of radiographic loosening of the femoral component was 5 per cent (two hips) and that of the acetabular component was 32 per cent (twelve hips). We did not find a relationship between the amount of horizontal or vertical displacement of the center of the femoral head and the rate of loosening. Kaplan-Meier survivorship analysis with revision as the end point predicted a rate of survival of 85 per cent (95 per cent confidence interval, 75 to 95 per cent) at fifteen years. With radiographic loosening as the end point, the predicted rate of survival was 68 per cent (95 per cent confidence interval, 54 to 81 per cent) at fifteen years. We concluded that, for patients who have Crowe type-II, III, or IV congenital dysplasia of the hip, good long-term results can be obtained with insertion of a femoral stem with cement. The high rate of loosening of cemented acetabular components is a concern.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
H. C. Amstutz, J. T. Antoniades, and M. J. Le Duff
Results of Metal-on-Metal Hybrid Hip Resurfacing for Crowe Type-I and II Developmental Dysplasia
J. Bone Joint Surg. Am., February 1, 2007; 89(2): 339 - 346.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
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]

Home page
 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]

Home page
 JBJSHome page
A. Chougle, M.V. Hemmady, and J.P. Hodgkinson
Long-Term Survival of the Acetabular Component After Total Hip Arthroplasty with Cement in Patients with Developmental Dysplasia of the Hip
J. Bone Joint Surg. Am., January 1, 2006; 88(1): 71 - 79.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
A.S. Klapach, J.J. Callaghan, K.A. Miller, D.D. Goetz, P.M. Sullivan, D.R. Pedersen, and R.C. Johnston
Total Hip Arthroplasty with Cement and without Acetabular Bone Graft for Severe Hip Dysplasia. A Concise Follow-Up, At a Minimum of Twenty Years, of a Previous Report
J. Bone Joint Surg. Am., February 1, 2005; 87(2): 280 - 285.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. Perka, U. Fischer, W. R. Taylor, and G. Matziolis
Developmental Hip Dysplasia Treated with Total Hip Arthroplasty with a Straight Stem and a Threaded Cup
J. Bone Joint Surg. Am., February 1, 2004; 86(2): 312 - 319.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
H. Ito, T. Matsuno, A. Minami, and Y. Aoki
Intermediate-Term Results After Hybrid Total Hip Arthroplasty for the Treatment of Dysplastic Hips
J. Bone Joint Surg. Am., September 1, 2003; 85(9): 1725 - 1732.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
J. Sanchez-Sotelo, D. J. Berry, R. T. Trousdale, and M. E. Cabanela
Surgical Treatment of Developmental Dysplasia of the Hip in Adults: II. Arthroplasty Options
J. Am. Acad. Ortho. Surg., September 1, 2002; 10(5): 334 - 344.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
F. DiFazio, W. Y. Shon, E. A. Salvati, and P. D. Wilson Jr.
Long-Term Results of Total Hip Arthroplasty with a Cemented Custom-Designed Swan-Neck Femoral Component for Congenital Dislocation or Severe Dysplasia : A Follow-up Note
J. Bone Joint Surg. Am., February 1, 2002; 84(2): 204 - 207.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
G. Jaroszynski, I. Woodgate, K. Saleh, and A. Gross
Total Hip Replacement for the Dislocated Hip
J. Bone Joint Surg. Am., February 1, 2001; 83(2): 272 - 272.
[Full Text]

Home page
 JBJSHome page
F. S. HADDAD, B. A. MASRI, D. S. GARBUZ, and C. P. DUNCAN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Primary Total Replacement of the Dysplastic Hip*{{dagger}}
J. Bone Joint Surg. Am., October 1, 1999; 81(10): 1462 - 82.
[Full Text]

Home page
 JBJSHome page
L. D. DORR, S. TAWAKKOL, M. MOORTHY, W. LONG, and Z. WAN
Medial Protrusio Technique for Placement of a Porous-Coated, Hemispherical Acetabular Component without Cement in a Total Hip Arthroplasty in Patients Who Have Acetabular Dysplasia
J. Bone Joint Surg. Am., January 1, 1999; 81(1): 83 - 92.
[Abstract] [Full Text]

Home page
 JBJSHome page
T. J. GILL, J. B. SLEDGE, and M. E. MÜLLER
Total Hip Arthroplasty with Use of an Acetabular Reinforcement Ring in Patients Who Have Congenital Dysplasia of the Hip. Results at Five to Fifteen Years
J. Bone Joint Surg. Am., July 1, 1998; 80(7): 969 - 79.
[Abstract] [Full Text]

Home page
 JBJSHome page
D. H. SOCHART and M. L. PORTER
The Long-Term Results of Charnley Low-Friction Arthroplasty in Young Patients Who Have Congenital Dislocation, Degenerative Osteoarthrosis, or Rheumatoid Arthritis
J. Bone Joint Surg. Am., November 1, 1997; 79(11): 1599 - 1617.
[Abstract] [Full Text]