A CLINICAL STUDY OF UNCEMENTED TOTAL HIP REPLACEMENT IN VARIOUS HIP DISORDERS
Abstract
PURPOSE: To assess the clinical and radiological outcome of uncemented total hip replacement in osteoarthritis of hip
METHODS: Our study is a prospective study of clinical and radiological analysis of uncemented total hip arthroplasties performed for various hip disorders Study was carried out in Orthopaedics Department of katuri medical college and Hospital, chinakondrupadu ,guntur from June 2018 to November 2018. The permission to conduct the study was taken from the hospital’s ethics and thesis committee
RESULTS. Ours is a prospective study comprising of 32 patients with 32 uncemented total hip arthroplasties. Of the 32 cases included in the study majority are male patients.22 patients are male constituting 68.75% of cases and the rest 10 are female patients constituting 31.25% of the cases
CONCLUSION: This study has shown that the outcome of uncemented total hip arthroplasty has excellent results in terms of pain relief, increased walking distance, and functional capabilities in patients. . Patients are satisfied with the results and most of them resumed their normal activities and are pursuing their jobs. Patient had significant improvement in range of motion at hip. Complications encountered in our short term follow up did not affect the outcome at the end. Neither the complications like aseptic loosening and wear requiring revision have not been found in our study, nor analysis regarding survivorship and longevity of the arthroplasty have been dealt with. Long term follow up is mandatory to analyze these aspects.
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Buckwalter JA, Saltzman C, Brown T. The impact of osteoarthritis: Implications for research. Clin Orthop Relat Res. 2004;427(Suppl):S6–15.
Cicuttini FM, Baker JR, Spector TD. The association of obesity with osteoarthritis of the hand and knee in women: A twin study. J Rheumatol. 1996;23:1221–6.
Spector TD, Cicuttini F, Baker J, Loughlin J, Hart D. Genetic influences on osteoarthritis in women: A twin study. BMJ. 1996;312:940–3.
Boles CA, el-Khoury GY. Slipped capital femoral epiphysis. Radiographics. 1997;17:809–23.
Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR. Subclinical slipped capital femoral epiphysis. Relationship to osteoarthrosis of the hip. J Bone Joint Surg Am. 1997;79:1489–97.
Bombelli R. The biomechanics of the normal and dysplastic hip. Chir Organi Mov. 1997;82:117–27
Tryba M, Linde I, Voshage G, Zenz M. Histamine release and cardiovascular reactions
to implantation of bone cement during total hip replacement. Anaesthesist
;40:25–32
Donaldson AJ, Thomson HE, Harper NJ, Kenny NW. Bone cement implantation
syndrome. Br J Anaesth 2009;102:12–22.
Borghi B, Casati A. Thromboembolic complications after total hip replacement. Int
Orthop 2002;26:44–47.
Ereth MH, Weber JG, Abel MD, et al. Cemented versus noncemented total hip
arthroplasty: embolism, hemodynamics, and intrapulmonary shunting. Mayo Clinic
Proc 1992;67:1066–1074.
Chandran P, Azzabi M, Andrews M, Bradley JG. Periprosthetic bone remodeling
after 12 years differs in cemented and uncemented hip arthroplasties. Clin Orthop
Relat Res 2012;470:1431–1435.
Harkess JW, Crockarell JR. Arthroplasty of hip. In: Canale ST & Beaty JH editors Campbell's Operative Orthopaedics. 11th ed. Mosby Elsevier; 2008. (Chapter 7: pg314-315)
Callaghan JJ, Albright JC, Goetz DD et al. Charnley total hip arthroplasty with cement. Minimum twenty-five-year follow up. JBJS (Am) 2000; 82: pg 487-97
Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet 2007; 370: pg 1508-1519.
Brown SR, Davies WA, DeHeer DH, Swanson AB. Long-term survival of Mckee- Farrar total hip prosthesis. Clin Orthop Relat Res 2002; 402: pg 157-63.
Charnley J. Arthroplasty of the hip: a new operation. Lancet 1961; 1: pg1129-32.
Hartley W, Mc Auley JP, Culpepper WJ , Engh CA Jr , Engh CA Sr : Osteonecrosis of Femoral Head Treated with Cementless THA. Investigation performed at the Anderson Orthopaedic Research Institute , Alexandria , Virginia . JBJS 2000 oct; vol 82 (A), NO.10: pg 1408-1413
Kim YH , Oh SH , Kim JS, Koo KH. Contemporary Total Hip Arthroplasty with and without Cement in Patients with Osteonecrosis of Femoral Head. JBJS( Am ) 2003; 85: pg 675-681
Cebesoy O, Erdemli B, Kose KC, Guzel B, Cetin I. Mid Term Results of Total Hip Replacement in Osteonecrosis of the Hip Joint. Acta Orthop Traumatol Turc 2006; 40 (4) : pg 301-306 47. Kantor SG, Huo MH, Huk OL, Salvati EA. Cemented total hip arthroplasty in patients with osteonecrosis. A 6 year minimum follow up study of second generation cement techniques. The Journal of Arthroplasty, 1996 April; vol 11(3): pg 267-271
Kantor SG, Huo MH, Huk OL, Salvati EA. Cemented total hip arthroplasty in patients with osteonecrosis. A 6 year minimum follow up study of second generation cement techniques. The Journal of Arthroplasty, 1996 April; vol 11(3): pg 267-271
Christophe N, Courpied JP, Kerboull M, Michel Postel , Hamadouche M. Charnley-Kerboull Total Hip Arthroplasty for Osteonecrosis of the femoral head.A minimal 10 year follow up study. The Journal of Arthroplasty, 2006 June; Vol 21(4): pg 533-40.
Mont MA, Jones LC, Hungerford D. Non traumatic osteonecrosis of femoral head-Ten Years Later. JBJS (Am) 2006 May; 88(5) : pg 1117-1132.
Mont MA, Seyler TM, Plate JF, Delanois RE, Parvizi J. Uncemented THR in young adults with osteonecrosis of femoral head. A Comparitive study. JBJS (Am) 2006 Nov; vol 88(3): pg 104-109
Yuan BS, Taunton MJ, Trousdale RT. Total Hip arthroplasty for Alcoholic Osteonecrosis of the Femoral Head.; Orthopaedics 2009; 32(6): pg 400.
Hungerford DS. Treatment of Osteonecrosis of the Femoral Head. Everything’s New. The Journal of Arthroplasty 2007 Jun; vol 22 (4): pg 91-94
Chiu Kh , Shen WY , Ko CK , Chan KM. Osteonecrosis of the femoral head treated with cemented THA. A comparison with other diagnoses. The Journal of Arthroplasty , 1997 Sept; vol 12(6): pg 683-688
Xenakis TA, Beris AE, Malizos KK et al. Total Hip Arthroplasty for Avascular necrosis and Degenerative osteoarthritis of the hip. Clin Orthop Relat Res 1997; 341 : pg 62-68
Garino JP, Steinberg ME : Total Hip Arthroplasty in Patients with Avascular Necrosis of Femoral Head : Clinical orthopaedics and related research. 1997 Jan; 334 : pg 108-115
. Crock HV. An atlas of the arterial supply of the head and neck of the femur in man.Clin Orthop 1980;152:17-27
Weitbrecht J. Syndesmologia sive Historia Ligamentorum Corporis Humani guain Seeundum. Observationes Anatomicas Concinnavit et Figuris ad Objecta Reentia Adumbratis Illustravit. Petropoli Typogr Acad Sci 1742;139-141.
Leighton RK: Fractures of the Neck of the Femur. In: Rockwood and Green's fracture in Adults. Ed: Bucholz RW, Heckman JD, Court-Brown CM. 6th Ed Philadelphia, Lippincott Williams & Wilkins 2006; 1753-1791.
Chung SMK. The arterial supply of the developing proximal end of the human femur. J Bone Joint Surg (Am) 1976; 58:961-965
Claffey TJ. Avascular necrosis of the femoral head: an anatomical study. J Bone Joint Surg Br 1960;42:802-809.
Howe JWW, Lacey IT, Schwartz RP. A study of the gross anatomy of the arteries supplying the proximal portion of the femur and the acetabulum. J Bone Joint Surg Am 1950;32:856-865
McLeish RD , Charnley J ,Abduction Forces in the One Legged Stance.; J Biomech 3 1970 Mar; vol 3 (2): pg 191-209
Andriarcchi TP Anderson GB, fermier RW, Stern D et al. A study of Lower Limb Mechanics during Stair Climbing. JBJS 1980; vol 62: pg 749-757
Harkess JW, Crockarell JR. Arthroplasty of hip. In: Canale ST & Beaty JH editors Campbell's Operative Orthopaedics. 11th ed. Mosby Elsevier; 2008. (Chapter 7: pg314-315)
Capello WN, D’ Antonio JA, Feinberg JR, Manely MT. Hydroxyapatite - Coated total hip components in patients less than 50 years old. Clinical And Radiographic Results After Five To Eight Years Of Follow Up. JBJS 1997 Jul; 79(A): pg 1023-1029
Yakup Ekmekci et al : Thrombophilia and AVN of Femoral Head in Kidney Allograft Recipients : Nephrol Dial Transplant 2006 ; 21: pg 3555 – 3558
Kim YH, Oh SH, Kim JS , Koo KH : Contemporary Total Hip Arthroplasty with and without Cement in Patients with Osteonecrosis of Femoral Head. JBJS(Am) 2003; 85: pg 675-681
Devan PA, Robinson EJ, Bourne RB et al. Measurement of polyethylene wear in acetabular components inserted with or without cement: JBJS 1997 May; vol 79-A: pg 682-689.
Callaghan JJ, Gaffey LJ et al: Cementless acetabular fixation at fifteen years. JBJS (Am) 2004; 86: pg 257-261
Schmalzrid TP, Callaghan JJ. Current Concepts Review in Total Hip and Knee Replacements. JBJS 1999; vol 81: pg 115 – 136 .
Xenakis TA , Beris AE , Malizos KK et al. Total Hip Arthroplasty for Avascular necrosis and Degenerative osteoarthritis of the hip. Clin Orthop Relat Res 1997Aug; 341 : pg 62-68
Beaule PE, Amstutz HC. Management of Ficat Stage III and IV Osteonecrosis of the Hip. J Am Acad Orthop Surg 2004; 12 (2): pg 96 – 105.
Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results J Bone Joint Surg Br. 1987 Jan;69(1):45-55.
Kristian Bjørgul • Wendy M. Novicoff • S. T. Andersen • K. Brevig • F. Thu • M. Wiig • O. A˚ hlund.No differences in outcomes between cemented and uncemented acetabular components after 12–14 years: results from a randomized controlled trial comparing Duraloc with Charnley cups. J Orthopaed Traumatol (2010) 11:37–45
Weiss RJ, Hailer NP, Stark A, Karrholm J. Survival of uncemented acetabular monoblock cups: evaluation of 210 hips in the Swedish Hip Arthroplasty Register. Acta Orthop 2012;83:214-9.
Eskelinen A, Remes V, Helenius I, et al. Total hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register. 4,661 primary replacements followed for 0-22 years. Acta Orthop 2005; 76:28-41
Hamilton TW, Goodman SM, Figgie M. SAS Weekly Rounds: Avascular Necrosis. HSSJ (2009) 5: 99–113
Seyler TM, Cui Q, Mihalko WM, Mont MA, Saleh KJ Advances in hip arthroplasty in the treatment of osteonecrosis. Instructional Course Lecture (2007); 56: 221–233
Rahman WA et al. Total Hip arthroplasty in steroid induced osteonecrosis: early functional and radiological outcomes. Canada Journal of Surgery, 2012 Oct, 1: 55(5)
DOI: 10.1503/cjs.03251.
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