Assuntos
Fratura de Monteggia/cirurgia , Traumatismo Múltiplo/cirurgia , Fraturas do Rádio/cirurgia , Adulto , Feminino , Humanos , Fratura de Monteggia/diagnóstico por imagem , Fratura de Monteggia/reabilitação , Traumatismo Múltiplo/diagnóstico por imagem , Traumatismo Múltiplo/reabilitação , Modalidades de Fisioterapia , Radiografia , Fraturas do Rádio/diagnóstico por imagem , Fraturas do Rádio/reabilitação , Resultado do TratamentoRESUMO
Forty-five Furlong hydroxyapatite-coated total hip replacements were reviewed at an average of 71 months (46-89) after surgery. Patient's average age at surgery was 46 years (31-50). The average Harris hip score at the time of final review was 89, and 38 hips (84%) had no pain (28) or only slight pain (10). Three hips were revised, none for aseptic loosening. Two cups were loose. The remainder of the cups and all the stems were radiographically stable with positive evidence of bone ingrowth and no signs of impending failure. One cup showed definite wear of the polyethylene liner. Focal progressive osteolytic lesions occurred in the calcar region in 3 stable hips (7%). To date the Furlong hydroxyapatite-coated implant has produced encouraging results in this group of young patients, although longer follow-up is needed to determine its durability.
Assuntos
Artroplastia de Quadril , Materiais Biocompatíveis , Durapatita , Prótese de Quadril , Desenho de Prótese , Acetábulo/diagnóstico por imagem , Acetábulo/cirurgia , Adulto , Fatores Etários , Ligas , Artroplastia de Quadril/efeitos adversos , Distribuição de Qui-Quadrado , Equipamentos Médicos Duráveis , Feminino , Fraturas do Fêmur/etiologia , Fêmur/diagnóstico por imagem , Fêmur/cirurgia , Seguimentos , Luxação do Quadril/etiologia , Prótese de Quadril/efeitos adversos , Humanos , Complicações Intraoperatórias , Instabilidade Articular/etiologia , Masculino , Pessoa de Meia-Idade , Osseointegração , Osteólise/etiologia , Dor/fisiopatologia , Satisfação do Paciente , Polietilenos , Complicações Pós-Operatórias , Falha de Prótese , Radiografia , Amplitude de Movimento Articular/fisiologia , Reoperação , Propriedades de Superfície , Titânio , Resultado do TratamentoRESUMO
We report the clinical and radiograph outcome of 77 Furlong hydroxyapatite fully coated femoral prosthesis in 71 patients undergoing primary total hip replacement, with mean follow-up of 65 months (range 48-82 months). The patients' average age at surgery was 55 years. The clinical results, as determined by Harris hip score, were excellent or good for 84% of the hips. Thigh pain which was not disturbing was present in 9% of the hips. No femoral component had been revised for aseptic loosening, and none were considered loose radiographically at the time of final follow-up evaluation. Serial radiographs revealed an excellent quality of bone around the prostheses, with positive evidence of bone ingrowth and no signs of impending failure.
Assuntos
Artroplastia de Quadril/métodos , Materiais Biocompatíveis , Durapatita , Fêmur , Prótese de Quadril , Adulto , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Estudos de Avaliação como Assunto , Feminino , Seguimentos , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/cirurgia , Prótese de Quadril/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Prognóstico , Desenho de Prótese , Falha de Prótese , Radiografia , Reoperação , Propriedades de Superfície , Resultado do TratamentoRESUMO
Technetium 99Tcm pyrophosphate bone scans were done on 35 patients who complained of persistent hip following total hip replacement. The scans of six patients were normal and the symptoms of these patients either resolved (three) or greatly improved (three) without further treatment. Twenty-nine patients had abnormal scans. Seventeen of these were due to infection or loosening of the prosthesis. Paget's disease of bone, protrusion of the prosthesis and heterotopic ossification also caused scan abnormalities. These causes could not be distinguished from one another on the scan. A radiograph of the hip is essential for interpreting the scan correctly. Scanning of the painful hip prosthesis helps to detect patients in whom serious complications are present or are likely to develop.
