Conversion of Hip Arthrodesis to Total Hip Arthroplasty: Survivorship and Clinical Outcome

Richards, Corey J.; Duncan, Clivе P.

doi:10.1016/j.arth.2010.02.005

Cited by 50 publications

(66 citation statements)

References 23 publications

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“…QOL was lower after conversion of hip arthrodesis than after conventional PTHA in contrast to reports that conversion may achieve a success rate similar to that of a PTHA [36,40,49]. They reported no differences observed either in functional scores between conversion of fused hips to THA and revision THA, as observed by Peterson et al [53], or in patient satisfaction between the three studied cohorts [57].…”

Section: Introductioncontrasting

confidence: 51%

“…Richards and Duncan [57] compared changes achieved in QOL after conversion of fused hips to THA and after primary THA (PTHA) using self-administered, healthrelated, QOL outcome questionnaires [57]. QOL was lower after conversion of hip arthrodesis than after conventional PTHA in contrast to reports that conversion may achieve a success rate similar to that of a PTHA [36,40,49].…”

Section: Introductionmentioning

confidence: 74%

“…However, some authors believe that function, range of mobility, muscle strength, persistence of limp, and need for assistive walking aids are less satisfactory after conversion of a fused hip to a THA compared with a conventional PTHA [40,52,53,55,57,62,69], with a rate of major complications ranging from 15% to 54% [40,53,55,57,62,65,73,74]. However, some consider it a satisfactory procedure [30,36,54,62], achieving similar improvement of symptoms, success rate, patient satisfaction, and survivorship as a PTHA [4,40,49].…”

Section: Discussionmentioning

confidence: 99%

“…Strict patient matching, achieving no differences in demographic and perioperative clinical data between the two cohorts, exact adherence to the study protocol, length of followup, and the combination of a surgeon-administered hip-specific score measuring hip function and a patient self-administered health-related QOL survey enhance the validity of data [43]. Richards and Duncan [57] used only self-administered QOL outcome questionnaires in their study, but we think the combination of a surgeonadministered hip-specific score (HHS) measuring hip function, and a patient self-administered health-related QOL survey allows for a more global assessment of patients [43]. Our data confirm that of other studies [29,36,40,49,54,58,65] documenting improved function and QOL after conversion and similar to the improvements after a PTHA ( Table 5).…”

Section: Discussionmentioning

confidence: 99%

“…Survival of the converted THA ranges from 74% to 96% at 10 years [29,36,53,57] and 73% at 26 years [36]. Between 75% and 100% of patients are satisfied with the procedure [29,36,40,45,49,55,57,62,65,73], and they generally are pleased with the outcome even if factors such as range of mobility, muscle strength, LLD, persistence of limp, and need of assistive walking aids are less satisfactory in converted hips compared with hips that had conventional primary THA [40,52,55,69]. A patient's satisfaction with the obtained outcome may be related more to the global change achieved in QOL than to 'objective' data assessed by the surgeon.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Is Total Hip Arthroplasty after Hip Arthrodesis as Good as Primary Arthroplasty?

Fernández-Fairén

Murcia-Mazón

Torres

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Conversion of hip arthrodesis to a THA reportedly provides a reasonable solution, improving function, reducing back and knee pain, and slowing degeneration of neighboring joints associated with a hip fusion. Patients generally are satisfied with conversion despite the fact that range of mobility, muscle strength, leglength discrepancy (LLD), persistence of limp, and need for assistive walking aids generally are worse than those for conventional primary THA.

show abstract

Section: Introductioncontrasting

confidence: 51%

Section: Introductionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Is Total Hip Arthroplasty after Hip Arthrodesis as Good as Primary Arthroplasty?

Fernández-Fairén

Murcia-Mazón

Torres

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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show abstract

Midterm outcomes of total hip arthroplasty after internal hemipelvectomy and iliofemoral arthrodesis

Dittman,

Houdek,

Rose

et al. 2023

Journal of Surgical Oncology

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Background and ObjectivesRecent studies have reported acceptable outcomes after arthrodesis takedown and conversion to total hip arthroplasty (THA); however, there are no reports on outcomes after oncologic resection, which are inherently complex and may portend poorer outcomes. The purpose of this study was to examine the surgical and functional outcomes of patients who underwent prior hemipelvectomy for tumor resection and were later converted to THA.MethodsAll patients who had prior iliofemoral arthrodesis after oncologic resection that were later converted to THA at a single institution were examined. Charts were reviewed for demographic information, operative information, functional outcomes, and complications/reoperations.ResultsAll three patients in this study were males who underwent internal hemipelvectomies for chondrosarcoma. Patients were converted to THA at a mean of 26 years after arthrodesis. Mean follow‐up after conversion to THA was 7.4 years. During this follow‐up period, two of the three patients required revision surgery. At last follow‐up, the mean Harris Hip Score was 81 and the mean Mayo Hip Score was 67, and all patients were ambulatory without significant pain.ConclusionsOverall, patients who undergo iliofemoral arthrodesis after oncologic hemipelvectomy and are later converted to THA can expect to have a reasonable outcome, despite a high rate of complications and revision surgery.

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MAKO robotic assisted total hip replacement (THR) for patients with fused hips

Zhao

Cai

Wang

et al. 2022

Robotics Computer Surgery

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Background Previous articles about MAKO robotic‐assisted total hip replacement (THR) were mainly in patients with comparatively normal anatomy. Methods From July 2020 to June 2021, we performed MAKO robotic‐assisted THR in three hip‐fused patients. We assessed the accuracy of prostheses implantation, collected clinical data, and discussed the value of this technique in this kind of patients. Result All three patients achieved good leg length and prostheses position. A patient got femoral artery injury during the surgery. Moreover, she developed a thrombus. All three patients got acceptable Visual Analogue Scale scores and function recovery 6 months later. Conclusion MAKO robotic‐assisted THR achieved excellent prosthesis position in hip fused patients. More cases are needed to confirm this advantage. The function recovery was acceptable. Caution should be paid to protect the surrounding abnormal arteries, especially in a limited surgical field.

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Conversion of Hip Arthrodesis to Total Hip Arthroplasty: Survivorship and Clinical Outcome

Cited by 50 publications

References 23 publications

Is Total Hip Arthroplasty after Hip Arthrodesis as Good as Primary Arthroplasty?

Is Total Hip Arthroplasty after Hip Arthrodesis as Good as Primary Arthroplasty?

Midterm outcomes of total hip arthroplasty after internal hemipelvectomy and iliofemoral arthrodesis

MAKO robotic assisted total hip replacement (THR) for patients with fused hips

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