Total Hip Arthroplasty in Patients who had Previous Infection of the Hip with LegLength Discrepancy / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 189-196, 2006.
Artículo
en Coreano
| WPRIM
| ID: wpr-655246
ABSTRACT
PURPOSE:
To analyze the results of a minimum of three-year follow-up in patients with a severely deformed sequelae pyogenic hip, who had undergone total hip arthroplasty with a simultaneous limb length correction. MATERIALS ANDMETHODS:
The postoperative complication, clinical and the radiographic results were analyzed in 74 out of 102 patients, who were followed for a minimum of three years between December 1987 and May 2003. The average age was 42.8 years. The average follow-up duration was 4 years and 11 months. There were 50 tuberculosis infections, 24 pyogenic infections, and 23 fused hip cases. The average leg length shortening was 4.1 cm (range, 1.0-10.0 cm).RESULTS:
Preoperative Harris hip score improved to 90.2 postoperatively from 65.0 (range, 25-92.5) preoperatively. Leg length shortening was corrected by 0.4 cm (0.0-3.0 cm). Radiographically, excluding the 3 revisions, no case met the criteria of definite loosening. The postoperative complications included the recurrence of tuberculosis (2 cases), and variable nerve palsies, including femoral nerve (3 cases), and a sciatic nerve (3 cases). These patients completely recovered from nerve palsy. B-K amputation, after the postoperative exacerbation of circulation to the affected limb, was needed in one case with a preoperatively undetected femoral artery occlusion.CONCLUSION:
Although, restoring the normal limb length in the severely deformed pyogenic hip sequelae patients requires highly demanding surgical techniques, with a relatively higher incidence of postoperative complications, it is possible to achieve a higher level of patient satisfaction and definite gait improvement.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Parálisis
/
Complicaciones Posoperatorias
/
Recurrencia
/
Nervio Ciático
/
Tuberculosis
/
Incidencia
/
Estudios de Seguimiento
/
Satisfacción del Paciente
/
Artroplastia de Reemplazo de Cadera
/
Extremidades
Tipo de estudio:
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2006
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS