Arthrodesis of the Hip Joint

Stinchfield, Frank E.; Cavallaro, William U.

doi:10.2106/00004623-195032010-00004

Cited by 29 publications

(7 citation statements)

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“…3 The operation is often complicated by nonunion, with a reported incidence of up to 70%. 3,4 Tuberculosis may be reactivated after THR. [5][6][7] However, there are some reports of a good outcome following THR in these patients.…”

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confidence: 99%

Total hip replacement in active advanced tuberculous arthritis

Sidhu

Singh

2009

The Journal of Bone and Joint Surgery. British volume

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We describe the results of cemented total hip replacement in 23 patients (23 hips) with active tuberculous arthritis of the hip with a mean follow-up of 4.7 years (4 to 7). In two patients the diagnosis was proved by pre-operative biopsy, whereas all others were diagnosed on a clinicoradiological basis with confirmation obtained by histopathological examination and polymerase chain reaction of tissue samples taken at the time of surgery. All patients received chemotherapy for at least three months before surgery and treatment was continued for a total of 18 months. Post-operative dislocation occurred in one patient and was managed successfully by closed reduction. No reactivation of the infection or loosening of the implant was recorded and function of the hip improved in all patients. Total hip replacement in the presence of active tuberculous arthritis of the hip is a safe procedure when pre-operative chemotherapy is commenced and continued for an extended period after operation.

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confidence: 99%

Total hip replacement in active advanced tuberculous arthritis

Sidhu

Singh

2009

The Journal of Bone and Joint Surgery. British volume

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“…Su principal complicación es la no unión, con una incidencia de hasta un 70%. 9 La ATC se ha establecido como una de las formas más exitosas de tratamiento, con resultados adecuados según seguimientos variables, incluidos 8 a 10 años. 1,2 Sin embargo, no está claro el momento de realización en pacientes con infección activa o si es necesario esperar a completar el tratamiento de la infección.…”

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Artroplastia total de cadera posterior a una infección por Tuberculosis: Caso clínico y revisión de la literatura

Cabello

Wilson

Morena

et al. 2018

Rev Chil Ortop Traumatol

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ResumenLa tuberculosis persiste siendo un problema importante a nivel mundial. A pesar de que el compromiso de la cadera es infrecuente, su aparición representa un escenario complejo. Presentamos un paciente masculino que desarrolló una infección de la cadera que fue diagnosticada como tuberculosis de forma tardía. El paciente recibió tratamiento médico por 6 meses y luego se realizó una artroplastia total de cadera en dos tiempos, con éxito. Presentamos el reporte de un caso completo, junto a su seguimiento al aão y una revisión de la literatura sobre el tema.

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“…In conclusion, the purpose of this study was not to make an apology for HA against contemporary THA, which has indisputably proven its efficiency [43] , [44] , even in hip tuberculosis [45] . The occurrence in slightly more than fifty percent of the patients of low back pain and ipsilateral knee pain many years after operation are well known long terms effects of HA [16] , [17] , [19] , [23] , [24] , [27] , [33] , [46] – [48] . The main goal was to demonstrate that with this simple, cheap and reliable technique HA is still a very valuable option for painful hip arthritis in countries where THA accessibility is low.…”

Section: Discussionmentioning

confidence: 99%

Hip Arthrodesis with the Anterolateral Plate: An Innovating Technique for an Orphaned Procedure

et al. 2014

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BackgroundIn developing countries hip osteoarthritis constitutes a major public health issue as it is highly prevalent in all age ranges of population, including the young. It often remains untreated because of the low accessibility of total hip prostheses. Hip arthrodesis still represents a major treatment option, but, for several reasons which are discussed in this paper, is nowadays infrequently performed. By means of reporting the results of a new simple technique, using a self-devised plate, the relevancy of hip arthrodesis in this particular environment is emphasized.Methods and FindingsOur series included 35 patients with painful hip osteoarthritis who underwent a hip fusion with the anterolateral arthrodesis plate. Two of them had a concurrent femoral osteotomy for correction of a vicious position of the limb and another patient had a femoral diaphysis osteotomy and placement of a Wagner elongating device in order to proceed with a limb lengthening by callotasis. The follow-up period averaged 16,9 months (9 to 34). All hips, except two, achieved solid fusion between 6 and 15 months after surgery. One failure of fusion was in the oldest patient, who presented a loosening of plate and screws due to an advanced degree of osteoporosis; the other was in a young patient who admitted having walked on his leg too soon. Patient satisfaction was high. We concluded that this technique is reliable and effective.ConclusionsThe results of this study should convince the hesitant surgeon and patient to consider hip arthrodesis an acceptable treatment option for disabling hip arthritis, compared to no treatment at all.

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Arthrodesis of the Hip Joint

Cited by 29 publications

References 0 publications

Total hip replacement in active advanced tuberculous arthritis

Total hip replacement in active advanced tuberculous arthritis

Artroplastia total de cadera posterior a una infección por Tuberculosis: Caso clínico y revisión de la literatura

Hip Arthrodesis with the Anterolateral Plate: An Innovating Technique for an Orphaned Procedure

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