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Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up

BACKGROUND: Congenital hip dysplasia may lead to severe acetabular and femoral abnormalities that can make total hip arthroplasty a challenging procedure. We assessed a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using cementless tapered stem and he...

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Autores principales: Faldini, Cesare, Miscione, Maria Teresa, Chehrassan, Mohammadreza, Acri, Francesco, Pungetti, Camilla, d’Amato, Michele, Luciani, Deianira, Giannini, Sandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225629/
https://www.ncbi.nlm.nih.gov/pubmed/22113432
http://dx.doi.org/10.1007/s10195-011-0170-y
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author Faldini, Cesare
Miscione, Maria Teresa
Chehrassan, Mohammadreza
Acri, Francesco
Pungetti, Camilla
d’Amato, Michele
Luciani, Deianira
Giannini, Sandro
author_facet Faldini, Cesare
Miscione, Maria Teresa
Chehrassan, Mohammadreza
Acri, Francesco
Pungetti, Camilla
d’Amato, Michele
Luciani, Deianira
Giannini, Sandro
author_sort Faldini, Cesare
collection PubMed
description BACKGROUND: Congenital hip dysplasia may lead to severe acetabular and femoral abnormalities that can make total hip arthroplasty a challenging procedure. We assessed a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using cementless tapered stem and here we report the outcomes at long-term follow-up. MATERIALS AND METHODS: Twenty-eight patients (24 women and 4 men) aged between 44 and 50 years (mean 47 years) were observed. Clinical evaluation was rated with the Harris Hip Score. Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe’s classification, 16 hips presented dysplasia grade 1, 14 grade 2, and 4 grade 3. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis). Six patients were operated bilaterally, with a totally of 34 hips operated. After surgery, the patients were clinically and radiographically checked at 3, 6, and 12 months and yearly thereafter until an average follow-up of 12 years (range 10–14 years). RESULTS: Average Harris Hip Score was 56 ± 9 (range 45–69) preoperatively, 90 ± 9 (range 81–100) 12 months after surgery, and 91 ± 8 (range 83–100) at last follow-up. Radiographic evaluation demonstrated excellent osteointegration of the implants. Signs of bone resorption were present in 6 hips, nevertheless no evidence of loosening was observed and none of the implants has been revised. CONCLUSIONS: Even in dysplasic femur, the tapered stem allowed adequate stability and orientation of the implant. We consider tapered stem a suitable option for total hip arthroplasty in developmental hip dysplasia, also in case of young patients, thanks to the favourable long-term results.
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spelling pubmed-32256292011-12-27 Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up Faldini, Cesare Miscione, Maria Teresa Chehrassan, Mohammadreza Acri, Francesco Pungetti, Camilla d’Amato, Michele Luciani, Deianira Giannini, Sandro J Orthop Traumatol Original Article BACKGROUND: Congenital hip dysplasia may lead to severe acetabular and femoral abnormalities that can make total hip arthroplasty a challenging procedure. We assessed a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using cementless tapered stem and here we report the outcomes at long-term follow-up. MATERIALS AND METHODS: Twenty-eight patients (24 women and 4 men) aged between 44 and 50 years (mean 47 years) were observed. Clinical evaluation was rated with the Harris Hip Score. Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe’s classification, 16 hips presented dysplasia grade 1, 14 grade 2, and 4 grade 3. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis). Six patients were operated bilaterally, with a totally of 34 hips operated. After surgery, the patients were clinically and radiographically checked at 3, 6, and 12 months and yearly thereafter until an average follow-up of 12 years (range 10–14 years). RESULTS: Average Harris Hip Score was 56 ± 9 (range 45–69) preoperatively, 90 ± 9 (range 81–100) 12 months after surgery, and 91 ± 8 (range 83–100) at last follow-up. Radiographic evaluation demonstrated excellent osteointegration of the implants. Signs of bone resorption were present in 6 hips, nevertheless no evidence of loosening was observed and none of the implants has been revised. CONCLUSIONS: Even in dysplasic femur, the tapered stem allowed adequate stability and orientation of the implant. We consider tapered stem a suitable option for total hip arthroplasty in developmental hip dysplasia, also in case of young patients, thanks to the favourable long-term results. Springer International Publishing 2011-11-24 2011-12 /pmc/articles/PMC3225629/ /pubmed/22113432 http://dx.doi.org/10.1007/s10195-011-0170-y Text en © The Author(s) 2011 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Article
Faldini, Cesare
Miscione, Maria Teresa
Chehrassan, Mohammadreza
Acri, Francesco
Pungetti, Camilla
d’Amato, Michele
Luciani, Deianira
Giannini, Sandro
Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title_full Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title_fullStr Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title_full_unstemmed Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title_short Congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
title_sort congenital hip dysplasia treated by total hip arthroplasty using cementless tapered stem in patients younger than 50 years old: results after 12-years follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225629/
https://www.ncbi.nlm.nih.gov/pubmed/22113432
http://dx.doi.org/10.1007/s10195-011-0170-y
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