Reconstruction for chronic dislocation of the hip.
J Bone Joint Surg Br
; 85(6): 802-8, 2003 Aug.
Article
em En
| MEDLINE
| ID: mdl-12931795
ABSTRACT
We analysed one surgeon's attempt to reconstruct the hip in 66 patients (84 hips) with chronic dislocation and to restore the height of the centre of rotation above the transverse teardrop line, the body-weight lever arm, the abductor lever arm, and the abductor angle to normal. The outcome was assessed using a patient profile at 0, 10 and 20 years, a clinical assessment of pain, mobility and the range of active movement. We measured the work done by active movement against gravity, radiological signs of loosening, migration and subsidence, and the need for revision. We used survival at ten years and revision as the endpoint. The incidence of complications was higher than in arthroplasty for primary osteoarthritis of the hip, but the outcome was considered satisfactory. The advantages of a flanged cemented socket were demonstrated. A custom-made, laterally reduced, Charnley extra small CDH femoral prosthesis was used in certain cases.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Ortopédicos
/
Luxação do Quadril
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Bone Joint Surg Br
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Canadá