Bipolar hemiarthroplasty in juvenile rheumatoid arthritis

Yun, Andrew G.; Martin, Scott D.; Zurakowski, David; Scott, Richard D.

doi:10.1054/arth.2002.35799

Cited by 23 publications

(13 citation statements)

References 31 publications

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“…Moreover, five of the nineteen revised hips required repeat revision of the acetabulum during the time of the present study, suggesting that revision of failed bipolar arthroplasty can be more technically demanding and less durable than previously appreciated. Progressive migration of the hemiarthroplasty acetabular shell has been reported in a number of studies and may be associated with groin pain and the need for revision [14][15][16][17][18][19] . Migration of the acetabular shell occurred in nearly half (twenty-eight) of the fifty-eight hips with suitable radiographs in our series.…”

Section: Discussionmentioning

confidence: 99%

Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Pellegrini

Heiges

BIXLER

et al. 2006

The Journal of Bone & Joint Surgery

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This bipolar cup, when used for hemiarthroplasty in patients with symptomatic arthritis of the hip, was associated with unacceptably high rates of pain, migration, osteolysis, and the need for revision to total hip arthroplasty, especially when the acetabulum had been reamed. To the extent that these findings can be generalized to similar implant designs with conventional polyethylene, we do not recommend bipolar hemiarthroplasty as the primary operative treatment for degenerative arthritis of the hip.

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Section: Discussionmentioning

confidence: 99%

Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Pellegrini

Heiges

BIXLER

et al. 2006

The Journal of Bone & Joint Surgery

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“…At present, there are prostheses available for five major joints-elbow, shoulder, ankle, knee, and hip. 4,5 We present our experience with total hip arthroplasty performed in patients with juvenile chronic arthritis of the hip joint.…”

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confidence: 99%

Total Hip Arthroplasty in Children With Juvenile Chronic Arthritis

Kitsoulis

Stafilas

Siamopoulou

et al. 2006

Journal of Pediatric Orthopaedics

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From 1984 to 2002, 20 total hip arthroplasties in children with juvenile chronic arthritis were performed in the authors' department. All patients had polyarticular disease. Average age of patients was 15.8 (range 13-24) years. Early onset of the disease occurred at an average age of 7.3 (4-10) years. In six patients the physes were open at the time of surgery. All patients had complete loss of joint space and various combinations of subchondral sclerosis, flattening of the femoral head, and anterior inclination of the neck. All patients used crutches for walking and joint function was very restricted. All patients were operated on under general anesthesia. One of them was supported additionally with laryngeal mask because of cervical spine involvement. No intra- or postoperative complications occurred. Mobilization of the patients started immediately after surgery, followed by a special rehabilitation program. Follow-up examination was based on the Merle d'Aubigne et Postel scale as modified by Charnley. Patients were followed at 6 weeks and 3 months after surgery and thereafter every 6 months with clinical and radiologic examination. Average follow-up was 9.2 (2-20) years. All patients had no pain and full functional ability. Although total hip arthroplasty is technically difficult in this age, it should be performed in specialized centers because pain relief, decreased deformity, and improved quality of life can be achieved in most patients. The only disadvantage is wear of the prosthesis.

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“…However, mid to long-term follow-up demonstrated unacceptably high rates of complica ons like pain, migra on of prosthesis, osteolysis, and the need for revision [10][11][12][13] to total hip arthroplasty. The objec ve of this study was to analyze the long-term outcomes of Banaras Hindu University (BHU) bicentric bipolar hemiarthroplasty applied to these indica ons including the inner and outer bearing movements of the prosthesis.…”

Section: Introductionmentioning

confidence: 99%

Bicentric Bipolar Prosthesis in Non-Traumatic Hip Pathologies: Maximum 10 Years Follow Up

Jha

Kumar

Shakya

2018

Birat J. Health Sci.

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Introduction: Introduction of bipolar prosthesis was basically made for the treatment of fresh fracture neck of femur in elderly, but with advancement in design and techniques its use has been increased to various non-traumatic hip pathologies.Objective: To assess clinical and radiological outcome of BHU bicentric bipolar hip prosthesis in treatment of non-traumatic hip pathology.Methodology: This longitudinal study was done in 30 cases of various hip conditions, during the period of March 2002 to March 2012. All patients had secondary osteoarthritis of hip with abnormal acetabulum following advanced tubercular arthritis, rheumatoid arthritis, ankylosing spondylitis and avascular necrosis of femoral head. Primary bipolar hemi-replacement arthroplasty was done in all the cases using Banaras Hindu University (BHU) bicentric bipolar hip prosthesis. Each patient was assessed radiologically for movement and fraction of it occurring at various components of prosthesis and clinically for functional outcome using modified Harris hip score for the maximum of 10 years.Results: There were 17 males and 13 females (n=30), aged between 31-60 years. Three and half years following surgery, (n=12) 100% patients were able to squat and sit crossed legged. At four and half years follow-up, (n=7) 100% patient had excellent result when assessed by modified Harris hip score. Radiologically, by the end of 10 years (n=1) all the movements of hip occurred at inner bearing while the outer bearing was fixed to acetabulum.Conclusion: This intermediate term follow-up study suggests that the use of BHU bicentric bipolar hip prosthesis for bipolar hemireplacement is associated with be

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Bipolar hemiarthroplasty in juvenile rheumatoid arthritis

Cited by 23 publications

References 31 publications

Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Minimum Ten-Year Results of Primary Bipolar Hip Arthroplasty for Degenerative Arthritis of the Hip

Total Hip Arthroplasty in Children With Juvenile Chronic Arthritis

Bicentric Bipolar Prosthesis in Non-Traumatic Hip Pathologies: Maximum 10 Years Follow Up

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