The Journal of Bone and Joint Surgery 80:510-7 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.
Treatment of High Dislocation of the Hip in Adults with Total Hip Arthroplasty. Operative Technique and Long-Term Clinical Results*
GEORGE HARTOFILAKIDIS, M.D. ,
KONSTANTINOS STAMOS, M.D. and
THEOFILOS KARACHALIOS, M.D., ATHENS, GREECE
Investigation performed at the Orthopaedic Department, Athens University, K.A.T. Hospital, Athens
The clinical results of eighty-four total hip arthroplasties performed through a transtrochanteric approach in sixty-seven patients who had a high dislocation of the hip (the femoral head completely out of the acetabulum), from 1976 to 1994, were reviewed. The acetabular component was placed in the true acetabulum and the femur was shortened at the level of the femoral neck, along with release of the psoas tendon and the small external rotators, in order to facilitate reduction of the components and to avoid neurovascular complications. Eleven hip prostheses (13 per cent) failed at a mean of 6.4 years (range, two months to sixteen years) postoperatively; the failure was due to aseptic loosening of both components in four hips, aseptic loosening of the stem only in three, late infection in three, and malpositioning of the acetabular component that caused recurrent dislocations in one. The other seventy-three hips were functioning well at the latest follow-up examination, two to twenty years (mean, 7.1 years) postoperatively.
The overall cumulative rate of success was 92.4 per cent (95 per cent confidence interval, 89.5 to 95.3 per cent) at five years and 88.0 per cent (95 per cent confidence interval, 82.2 to 93.8 per cent) at ten years. We believe that this operative technique of total hip arthroplasty is effective for the treatment of the difficult condition of high dislocation of the hip.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
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]
|
|
|
|
|
|
|
M. Inan, A. Alkan, A. Harma, and K. Ertem
Evaluation of the Gluteus Medius Muscle After a Pelvic Support Osteotomy to Treat Congenital Dislocation of the Hip
J. Bone Joint Surg. Am.,
October 1, 2005;
87(10):
2246 - 2252.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Baumgart, M. Krammer, A. Winkler, S. Hinterwimmer, O. Muensterer, and W. Mutschler
Reduction of high dislocation of the hip using a distraction nail before arthroplasty
J Bone Joint Surg Br,
April 1, 2005;
87-B(4):
565 - 567.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Hartofilakidis and T. Karachalios
Total Hip Arthroplasty for Congenital Hip Disease
J. Bone Joint Surg. Am.,
February 1, 2004;
86(2):
242 - 250.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
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]
|
|
|
|
|
|
|
F. S. HADDAD, B. A. MASRI, D. S. GARBUZ, and C. P. DUNCAN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Femoral Bone Loss in Total Hip Arthroplasty: Classification and Preoperative Planning*{{dagger}}
J. Bone Joint Surg. Am.,
October 1, 1999;
81(10):
1483 - 98.
[Full Text]
|
|
|
|
