Perioperative management and effect analysis of total hip arthroplasty in elder patients with developmental dysplasia of the hip / 中国矫形外科杂志

ABSTRACT

[Objective]To study the perioperative management and effect of total hip arthroplasty (THA) in elder patients with developmental dysplasia of the hip (DDH). [Methods]THA was applied in 24 patients (32 hips) who sufferring osteoarthritis and femoral head necrosis due to developmental dysplasia of the hip. The patients ranged from 70 to 82 years old with an average age of 74.3,and they all had metabolic diseases or more than one organ dysfunctions. The patients fulfilled the conditions of the surgery after sufficient perioperative period preparation.[Results]The follow-up time was from 2 to 8 years (averaged 3 years).Cardiopulmonary function was improved in all patients and the artificial joints were stable. And the patients could walk stably and powerfully without pain and deformity of the hip. The average Harris score after the operation was 87.2 points,and it was higher than 38.5 points before the operation.[Conclusion]For the reason of osteoarthritis and femoral head necrosis due to DDH,the patient's activity decreased,and so with their organ functions. And these patients always had metabolic diseases.All these can affect the safety and the outcome of THA. Therefore,sufficient perioperative management is as important as the surgery technique to obtain a stable,painless and functional joint in these patients.