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Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up

Austin-Moore hemiarthroplasty (HA) had been selectively used for elderly patients with femoral neck fractures. With increasing life span and activity, the sequela of Austin-Moore HA make the implant no longer favorable. The treatment of failed Austin-Moore HA with advanced acetabular erosion is chal...

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Autores principales: Huang, Tsan-Wen, Chang, Chih-Hsiang, Chang, Fu-Chun, Chen, Chun-Chieh, Huang, Kuo-Chin, Lee, Mel S., Shih, Hsin-Nung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466933/
https://www.ncbi.nlm.nih.gov/pubmed/31061827
http://dx.doi.org/10.1155/2019/7814602
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author Huang, Tsan-Wen
Chang, Chih-Hsiang
Chang, Fu-Chun
Chen, Chun-Chieh
Huang, Kuo-Chin
Lee, Mel S.
Shih, Hsin-Nung
author_facet Huang, Tsan-Wen
Chang, Chih-Hsiang
Chang, Fu-Chun
Chen, Chun-Chieh
Huang, Kuo-Chin
Lee, Mel S.
Shih, Hsin-Nung
author_sort Huang, Tsan-Wen
collection PubMed
description Austin-Moore hemiarthroplasty (HA) had been selectively used for elderly patients with femoral neck fractures. With increasing life span and activity, the sequela of Austin-Moore HA make the implant no longer favorable. The treatment of failed Austin-Moore HA with advanced acetabular erosion is challenging; however, little has been published regarding this topic. The aim of this study was to evaluate the mid-term results of using cementless total hip arthroplasty (THA) in octogenarians. Between 2008 and 2011, 47 patients (32 women and 15 men) with an average age of 86 years (range 83-89 years) were enrolled in this retrospective study. After an average follow-up period of 6.2 years (range 5.0-7.8 years), no migration or loosening of the cup or femoral stem was found. Harris hip scores improved from 36 (range 15-42) preoperatively to 87 (range 80-90). There were no complications directly associated with the procedure except for superficial infections in two patients. Our results suggest that using cementless THA can result in favorable radiographic and clinical outcomes in octogenarian patients.
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spelling pubmed-64669332019-05-06 Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up Huang, Tsan-Wen Chang, Chih-Hsiang Chang, Fu-Chun Chen, Chun-Chieh Huang, Kuo-Chin Lee, Mel S. Shih, Hsin-Nung Biomed Res Int Research Article Austin-Moore hemiarthroplasty (HA) had been selectively used for elderly patients with femoral neck fractures. With increasing life span and activity, the sequela of Austin-Moore HA make the implant no longer favorable. The treatment of failed Austin-Moore HA with advanced acetabular erosion is challenging; however, little has been published regarding this topic. The aim of this study was to evaluate the mid-term results of using cementless total hip arthroplasty (THA) in octogenarians. Between 2008 and 2011, 47 patients (32 women and 15 men) with an average age of 86 years (range 83-89 years) were enrolled in this retrospective study. After an average follow-up period of 6.2 years (range 5.0-7.8 years), no migration or loosening of the cup or femoral stem was found. Harris hip scores improved from 36 (range 15-42) preoperatively to 87 (range 80-90). There were no complications directly associated with the procedure except for superficial infections in two patients. Our results suggest that using cementless THA can result in favorable radiographic and clinical outcomes in octogenarian patients. Hindawi 2019-04-02 /pmc/articles/PMC6466933/ /pubmed/31061827 http://dx.doi.org/10.1155/2019/7814602 Text en Copyright © 2019 Tsan-Wen Huang et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Huang, Tsan-Wen
Chang, Chih-Hsiang
Chang, Fu-Chun
Chen, Chun-Chieh
Huang, Kuo-Chin
Lee, Mel S.
Shih, Hsin-Nung
Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title_full Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title_fullStr Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title_full_unstemmed Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title_short Results of Conversion from Failed Austin-Moore Hemiarthroplasty to Cementless Total Hip Arthroplasty in Octogenarian Patients with Advanced Acetabular Erosion: A Minimum of 5 Years of Follow-Up
title_sort results of conversion from failed austin-moore hemiarthroplasty to cementless total hip arthroplasty in octogenarian patients with advanced acetabular erosion: a minimum of 5 years of follow-up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466933/
https://www.ncbi.nlm.nih.gov/pubmed/31061827
http://dx.doi.org/10.1155/2019/7814602
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