Long term results of arthrodesis for severe osteoarthritis of the hip in young adults

Abstract

We examined 40 patients (12 men, 28 women) who had undergone hip arthrodesis for severe osteoarthritis more than 15 years previously. Twenty-one cases were due to congenital dislocation of the hip. The age at fusion was mostly between 30 and 39 years. There was no case in which the position of fusion was unsatisfactory. At follow-up, 26 patients had back pain, 9 had pain in the same knee, 2 in the opposite knee and 3 had pain in both knees. Pain in the opposite hip occurred in 5 patients who had slight osteoarthritic changes on the preoperative radiographs. Every patient had been able to return to his or her previous occupation. Thirty-five had some difficulty in bending during Japanese-style sitting, but all could walk for more than 30 minutes without any difficulty. All but two were satisfied with the operation and none of them wanted to have a total hip replacement. In spite of the disadvantages of arthrodesis of the hip, such as the limitation of some activities and the effect on neighbouring joints, most patients were very satisfied with the result.

Historical review of cervical arthroplasty

“…Unfortunately, 32% experienced difficulties with sexual activity, and more than 70% graded their activity as below average for their age group, particularly the female patients. 4,69 Another study also showed positional disabilities, including difficulty kneeling or sitting, difficulty putting on and taking off socks, and difficulty climbing stairs. 63,69 These patients also experienced significant gait changes, with significant limb-length discrepancy.…”

“…4,69 Another study also showed positional disabilities, including difficulty kneeling or sitting, difficulty putting on and taking off socks, and difficulty climbing stairs. 63,69 These patients also experienced significant gait changes, with significant limb-length discrepancy. 1,29,39 Biomechanical data reported by several authors 11,34,70 also revealed increased loading in the ipsilateral knee and lower lumbar region, which can accelerate degenerative changes in those regions.…”

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

“…Functional impairment, and pain and degeneration of the neighboring joints are frequent problems associated with a long-term fused hip [12,52,63,64,68,70]. Between 35% Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”

“…and 60% of patients with fused hips complain of knee pain and between 57% and 65% complain of low back pain [12,68,70]. Many surgeons consider disability resulting from a fused hip, pain in the surrounding joints, malpositioned ankylosis, or painful pseudarthrosis as indications to convert a fused hip to a THA [12, 45, 52, 62-65, 68-70, 72, 74, 77, 78].…”

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

“…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.…”