Purpose: The prognosis of
Objective: The presentation of mid-term results of porous tantalum TMT cup in
Total hip joint replacement (THJR) for high riding
Purpose: Implantation of a prosthesis on a remodelled femur can cause technical difficulties affecting the outcome of the arthroplasty. We performed a tridimensional study of the femoral anatomy before prosthesis implantation for sequelar
implantation of the cup in the paleoacetabulum; screwed autograft harvested from the femoral head to fill the bony defect; implantation of an anatomic stem, without cement but with HA-coated shaft.
Aim. Aim of this monocentric, prospective study was to evaluate the safety, efficacy, clinical and radiographical results at 24-month follow-up (N = 6 patients) undergoing hip revision surgery with severe acetabular bone defects (Paprosky 2C-3A-3B) using a combination of a novel phase-pure betatricalciumphosphate - collagen 3D matrix with allograft bone chips. Method. Prospective follow-up of 6 consecutive patients, who underwent revision surgery of the acetabular component in presence of massive bone defects between April 2018 and July 2019. Indications for revision included mechanical loosening in 4 cases and history of hip infection in 2 cases. Acetabular deficiencies were evaluated radiographically and CT and classified according to the Paprosky classification. Initial diagnosis of the patients included osteoarthritis (N = 4), a traumatic fracture and a
Introduction. Orthopaedic rehabilitation of adolescences and young adults with high dislocation of the femur is rather challenging. The role of palliative salvage procedures is controversial enough in the cohort of patients. Materials and Methods. Treatment outcomes of 10 patients with
Purpose of the study: the Pavlik harness has been used for the treatment of
A clinical and radiographic study was conducted on 97 total hip arthroplasties (79 patients) performed for
Purpose: Total hip arthroplasty in high riding congenital dislocation of the hip is a challenging procedure. In order to position the cup in the true acetabulum, femoral shortening osteotomy is often needed. The purpose of our study was to evaluate the results of two different methods of femoral shortening osteotomy. Method: Thirty-one total hip arthroplasties were performed in 29 cases with high
Beighton and Kozlowski, in 1980, first defined this disorder, in Afrikaners, the syndrome , evident at birth, is constantly manifested by dwarfism, ligamentous hyperlaxity, congenital scoliosis, and multiple dislocations(hip dislocation, radial head dislocation, scoliosis, spatulate thumbs, and generalized ligamentous hyperlaxity, children are of normal intelligence potential. We report A Tunisian family, in which the proband , and her parents family have the presumptive diagnosis of Beighton dysplasia(spondyloepimetaphyseal dysplasia), the proband manifested the full clinical criteria of the disorder, whereas the mother, and other family members are partially manifesting the disorder, but dysplastic hips is the common feature in most of the family members examined(from both paternal and maternal side), up to four family subjects are variably affected, ranging between
Purpose: The report of a case o f a patient, who underwent a total hip arthroplasty and sustained cerebral hemorrhage due to low molecular weight heparin. Case report: A 46-years-old woman had a total hip replacement due to secondary osteoarthritis after a
We followed 66 total hip arthroplasties using a cement-less Omniflex femoral component with different surface morphology in 51 patients for a mean of 98 months (72 to 138). There were 57 women and nine men, and the mean age of the patient at the time of operation was 55.4 years (39 to 70). Preoperative diagnosis was osteoarthritis secondary to
Fit with the proximal femoral cortices is critical to the success of cementless femoral stems in total hip arthroplasty. Conventional femoral stems are often designed from the average geometry of the normal femora. Hip disease in Japan, however are predominantly associated with Osteoarthritis secondary to
Introduction: The treatment of “congenital hip disease” by total hip arthroplasty is now well established, but the indications for this type of surgery, the preoperative planning, the selection of the stem and the technique to be followed are still open to debate. Aim of the study: The purpose of this study is to analyse the long-term follow up after use of the cementless-system (CLS) femoral component designed by Spotorno in dysplastic or congenitally dislocated hips. Material and Methods: Our study includes 70 hips in 59 patients, 49 females and 10 males, 36 left hips and 34 right hips that treated with total hip arthroplasty from 1987 to 2000. The mean age of the patients was 48.5 years (range 34–74 years). Forty-one hips were congenitally dislocated and twenty-nine were severe dysplastic. Preoperative planning with CT and CAD-CAE system were used for selection of the stem. 11 patients had bilateral total hip arthroplasties with Spotorno CLS stem. Many different cups were used. Results: The mean follow up was 8.1 years (range 2–14 years). No patients were lost during the follow-up period. Patients were evaluated clinically with Merle d’ Aubigne and Postel hip score. There was a significant postoperative clinical improvement of the mean pain score by 3.7 points, of walking ability by 2.2 points and of motion by 2, 6 points. Thigh pain was not reported. There were no deep infections or mechanical loosening that required revision of the femoral component. Conclusions: Although, the femoral component Spotorno CLS is used to every kind of hip diseases, had excellent long-term clinical results in adults, with dysplasia or
INTRODUCTION: The treatment of “congenital hip disease” by total hip arthroplasty is now well established, but the indications for this type of surgery, the preoperative planning, the selection of the stem and the technique to be followed are still open to debate. AIM OF THE STUDY: The purpose of this study is to analyse the long-term follow up after use of the cementless-system (CLS) femoral component designed by Spotorno in dysplastic or congenitally dislocated hips. MATERIAL AND METHODS: Our study includes 70 hips in 59 patients, 49 females and 10 males, 36 left hips and 34 right hips that treated with total hip arthroplasty from 1987 to 2000. The mean age of the patients was 48.5 years (range 34–74 years). Forty-one hips were congenitally dislocated and twenty-nine were severe dysplastic. Preoperative planning with CT and CAD-CAE system were used for selection of the stem. 11 patients had bilateral total hip arthroplasties with Spotorno CLS stem. RESULTS: The mean follow up was 8.1 years (range 2–14 years). No patients were lost during the follow-up period. Patients were evaluated clinically with Merle d’ Aubigne and Postel hip score. There was a significant postoperative clinical improvement of the mean pain score by 3.7 points, of walking ability by 2.2 points and of motion by 2,6 points. Thigh pain was not reported. There were no deep infections or mechanical loosenings that required revision of the femoral component. CONCLUSIONS: Although, the femoral component Spotorno CLS is used to every kind of hip diseases, had excellent long-term clinical results in adults, with dysplasia or
Purpose of the study: Implantation of a total hip arthroplasty (THA) for major misalignment is a difficult procedure and few results have been published. In the 1950s to 1970s, supra-trochanteric osteotomy was proposed for sequelar osteoarthritis of
Aim: The evaluation and guantification of radiologic parameters observed in the late stages of hip arthritis. Materials and Methods : The present study concerns the retrospective evaluation of the preoperative X-rays of 80 patients affected from primary hip arthritis only on one side in an advanced stage, that were treated in our department with total hip arthroplasty. From the present study we excluded patients with hip arthritis secondary to trauma, rheumatoid arthritis or
In order to avoid the consequences of polyethylene wear in a high-risk population, 128 alumina-alumina total hip arthroplasty were implanted in 116 consecutive patients of 40 years old or less. Osteonecrosis and sequellae of