The Clinical Results of Total Hip Replacement Arthroplasty for Infection Hip Sequelae with Dislocation and Severe Shortening / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 449-454, 2000.
Article
in Korean
| WPRIM
| ID: wpr-655406
ABSTRACT
PURPOSE:
The purpose of this study is to evaluate the results of total hip replacement arthroplasty (THRA) in sequelae of the infected hip with dislocation and severe shortening. MATERIALS ANDMETHODS:
We reviewed 22 cases of THRA performed from January 1985 to March 1995, for painful, dislocated hips secondary to infection in childhood, with shortening of the limb more than 5 cm. Among 22 cases, seventeen were pyogenic infection sequelae, and five were tuberculous infection sequelae.RESULTS:
Mean followup period was 44 months (range 24-111 months) . The mean value of the Harris score was increased to 86.7, which had been 61. The mean postoperative limb-length discrepancy was 1.8 cm and amount of correction ranged from 2.5 cm to 6.1 cm (average 4.2 cm) . There was remarkable difference between the Crowe Group I and combined Group II and III in correction of shortening. The incidence of radiological loosening was not related to preoperative morbid period or the age of patients.CONCLUSION:
The main resistant factor in lengthening of the affected limb was soft tissue contracture related to old age or long term after infection, and complication rate (14%) was higher than that in the other kinds of disease on hip.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Incidence
/
Follow-Up Studies
/
Contracture
/
Arthroplasty, Replacement, Hip
/
Crows
/
Joint Dislocations
/
Extremities
/
Hip
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2000
Type:
Article
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