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O3151 METAL-TO-METAL TOTAL HIP ARTHROPLASTY WITH THE CEMENTLESS ENDOPROSTHESIS IN YOUNG ADULTS WITH OSTEOARTHROSIS



Abstract

Aims: 1. Analysis of indications for THA in young adults with osteoarthrosis, 2. Evaluation of clinical and radiological end results, 3. Investigation of complications after metal-to-metal THA. Material: 75 THAs with metal-tometal cementless endoprosthesis in 75 patients which had been operated between 1997–2002 were retrospectively evaluated. There 50 women and 25 men (mean age: 39 years old). The mean time of follow-up was 2,8 years (form 6 to 48 months). Etiologic factors of osteo-arthrosis in operated hips were: idiopathic arthrosis in 50 hips, CHD in 18 hips, post-traumatic lesions in 3 hips, aseptic necrosis of the femoral capitis. Metal-to-metal THA with the cementless endoprosthesis was made in all evaluated cases with: Alloclassic systeml Ð 66, other systems Ð 9.Methods: The clinical evaluation was performed with Merle dñAbugine score. The radiological evaluation of THA was based on criterion proposed by joined committee of The Hip Society, SICOT and AAOS. Results: The mean postoperative clinical result in the study group is 5,5 p. in Merle dñAbugine score. Radiological result was very good in all hips. Conclusions: The study supports the satisfactory results of the THA with the metal-to-metal cementless endoprosthesis in reconstructive surgery of the hip with degenerative changes in young adults.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.