Cargando…

Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease

PURPOSE: Patients who have secondary hip osteoarthritis as sequelae of Legg-Calvé-Perthes disease (LCPD) are severe deformities of femoral head and acetabulum. A few studies have presented that the clinical results and risks associated with total hip arthroplasty (THA) for patients with a history of...

Descripción completa

Detalles Bibliográficos
Autores principales: Lim, Young Wook, Kim, Myung Jin, Lee, Yong Suk, Kim, Yong Sik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Hip Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971396/
https://www.ncbi.nlm.nih.gov/pubmed/27536584
http://dx.doi.org/10.5371/hp.2014.26.4.214
_version_ 1782446096044261376
author Lim, Young Wook
Kim, Myung Jin
Lee, Yong Suk
Kim, Yong Sik
author_facet Lim, Young Wook
Kim, Myung Jin
Lee, Yong Suk
Kim, Yong Sik
author_sort Lim, Young Wook
collection PubMed
description PURPOSE: Patients who have secondary hip osteoarthritis as sequelae of Legg-Calvé-Perthes disease (LCPD) are severe deformities of femoral head and acetabulum. A few studies have presented that the clinical results and risks associated with total hip arthroplasty (THA) for patients with a history of LCPD were not satisfactory. In this study, we reported the radiographic and clinical outcomes of THA in patients with sequelae of LCPD. MATERIALS AND METHODS: Between March 2007 and May 2012, 23 hips (23 patients) underwent cementless THA and were followed up at least 2 years after surgery. There were 11 male patients and 12 female patients with an average age of 49.2 years old (range, 25 to 69 years old), and the average follow up period was 40.8 months (range, 24 to 84 months). The clinical and radiological evaluations were performed. RESULTS: The Harris hip score improved from 48.3 points preoperatively to 92.4 points at the time of the last follow-up. The shortening of affected limb was improved from -1.6 cm to 0.2 cm. The complications included one case of sciatic nerve palsy that developed after extensive lengthening of lower extremity, three cases of intraoperative femur fractures. There was no component loosening. CONCLUSION: Fractures and motor nerve palsies may be more frequent in this population. Careful preoperative planning should be performed to overcome the technical pitfalls. If overcoming this early complication, the clinical and radiological evaluations showed excellent outcomes at average 40-month follow-ups.
format Online
Article
Text
id pubmed-4971396
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Korean Hip Society
record_format MEDLINE/PubMed
spelling pubmed-49713962016-08-17 Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease Lim, Young Wook Kim, Myung Jin Lee, Yong Suk Kim, Yong Sik Hip Pelvis Original Article PURPOSE: Patients who have secondary hip osteoarthritis as sequelae of Legg-Calvé-Perthes disease (LCPD) are severe deformities of femoral head and acetabulum. A few studies have presented that the clinical results and risks associated with total hip arthroplasty (THA) for patients with a history of LCPD were not satisfactory. In this study, we reported the radiographic and clinical outcomes of THA in patients with sequelae of LCPD. MATERIALS AND METHODS: Between March 2007 and May 2012, 23 hips (23 patients) underwent cementless THA and were followed up at least 2 years after surgery. There were 11 male patients and 12 female patients with an average age of 49.2 years old (range, 25 to 69 years old), and the average follow up period was 40.8 months (range, 24 to 84 months). The clinical and radiological evaluations were performed. RESULTS: The Harris hip score improved from 48.3 points preoperatively to 92.4 points at the time of the last follow-up. The shortening of affected limb was improved from -1.6 cm to 0.2 cm. The complications included one case of sciatic nerve palsy that developed after extensive lengthening of lower extremity, three cases of intraoperative femur fractures. There was no component loosening. CONCLUSION: Fractures and motor nerve palsies may be more frequent in this population. Careful preoperative planning should be performed to overcome the technical pitfalls. If overcoming this early complication, the clinical and radiological evaluations showed excellent outcomes at average 40-month follow-ups. Korean Hip Society 2014-12 2014-12-31 /pmc/articles/PMC4971396/ /pubmed/27536584 http://dx.doi.org/10.5371/hp.2014.26.4.214 Text en Copyright © 2014 by Korean Hip Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lim, Young Wook
Kim, Myung Jin
Lee, Yong Suk
Kim, Yong Sik
Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title_full Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title_fullStr Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title_full_unstemmed Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title_short Total Hip Arthroplasty in Patient with the Sequelae of Legg-Calvé-Perthes Disease
title_sort total hip arthroplasty in patient with the sequelae of legg-calvé-perthes disease
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971396/
https://www.ncbi.nlm.nih.gov/pubmed/27536584
http://dx.doi.org/10.5371/hp.2014.26.4.214
work_keys_str_mv AT limyoungwook totalhiparthroplastyinpatientwiththesequelaeofleggcalveperthesdisease
AT kimmyungjin totalhiparthroplastyinpatientwiththesequelaeofleggcalveperthesdisease
AT leeyongsuk totalhiparthroplastyinpatientwiththesequelaeofleggcalveperthesdisease
AT kimyongsik totalhiparthroplastyinpatientwiththesequelaeofleggcalveperthesdisease