ABSTRACT
We evaluated the results in fifty-three patients who had had a successful hip arthrodesis at least twenty years (average, thirty-eight years) prior to the study and who had been less than thirty-five years old at the time of operation. We determined the functional history of each patient and the current status of the opposite hip, the knees, and the back. Radiographs were made and each joint was rated according to standard clinical scales. Seventy-eight per cent of the patients were satisfied with the arthrodesis, and all were able to work. Fifty-seven per cent had some low-back pain and 45 per cent, some knee discomfort. Only seven patients (13 per cent) had had a total hip arthroplasty on the arthrodesed hip.
Subject(s)
Arthrodesis , Hip Joint/surgery , Activities of Daily Living , Age Factors , Back Pain/etiology , Child , Child, Preschool , Female , Follow-Up Studies , Hip Joint/diagnostic imaging , Humans , Joint Diseases/surgery , Joint Instability/etiology , Male , Postoperative Complications , RadiographySubject(s)
Arthrodesis , Hip Joint/surgery , Adolescent , Adult , Back Pain/etiology , Biomechanical Phenomena , Child , Child, Preschool , Female , Follow-Up Studies , Hip Joint/physiopathology , Humans , Knee Joint/physiopathology , Male , Middle AgedABSTRACT
Forty adults with a history of Legg-Calve-Perthes disease treated with spica casts were clinically and radiographically evaluated an average of 30 years post-treatment (range 14 to 40 years). Clinical results were 85% good, 5% fair, and 10% poor. Five percent showed significant degenerative joint disease on follow-up radiographs and 7% had undergone prosthetic replacement. Fifteen percent of the patients had a positive family history of Perthes disease. Factors associated with a better result included: diagnosis before age 9, shorter length of follow-up, minimal femoral head and neck involvement, and a congruous joint.