Applications of total hip prosthesis to patients with coxarthrosis that has developed due to developmental hip dysplasia

Yıl 2024, Cilt: 41 Sayı: 3, 619 - 625, 30.09.2024

Halil Gök , Alim Can Baymurat , Asim Ahmadov , Fatih İbrahim Pestilci

Öz

The aim of this study was to evaluate the clinical and radiographic results of total hip arthroplasty (THA) for coxarthrosis secondary to developmental dysplasia of the hip (DDH). Examinations were made of 58 hips in 47 patients with DDH who were operated on between 1990-2000 (patients with anatomic centred hips with or without roof graft and/or femoral shortening). The patients were evaluated using the Modified Harris Hip Score pre- and postoperatively. The average Harris score increased from 47.7 preoperatively to 89.2 postoperatively. The average age of 43 female and 4 male patients was 48 years (24-65). All the patients presented with a limp, which was resolved after surgery in 34% and partially improved in others. The average medialization was 24 mm, and the average distal placement was 32 mm. A total of 28 (48%) complications were observed in 26 patients. Intraoperatively, fissures were detected in the proximal femur in 5, and were fixed with cerclage wiring. One patient with femoral shortening had hip dislocation one week later, so plate screw fixation was revised with open reduction. One patient had anterior thigh pain, heterotopic ossification was observed in three cases, and polyethylene wear in one case. All 20 patients who had superolateral acetabular grafting showed incorporation but there was observed to be resorption in a 20% section that was non-weight-bearing in 3 cases. THA is an effective treatment option for coxarthrosis in neglected DDH. Patients should be informed about the problems they may encounter after surgery and care should be taken in terms of complications such as dislocation, prosthesis infection, and vascular and nerve damage.

Anahtar Kelimeler

Developmental hip dysplasia, coxarthrosis, total hip arthroplasty, Harris hip score

Teşekkür

The authors would like to thank Prof Dr Yalım Ateş for his scientific contribution to this research.

Kaynakça

• Symeonides PP, Pournaras J, Petsatodes G, Christoforides J, Hatzokos I, Pantazis E. Total hip arthroplasty in neglected congenital dislocation of the hip. Clin Orthop. 1997;
• Wang Y. Current concepts in developmental dysplasia of the hip and total hip arthroplasty. Arthroplasty. 2019;1(1):1–6.
• Kumar P, Sen R, Aggarwal S, Agarwal S, Rajnish RK. Reliability of modified harris hip score as a tool for outcome evaluation of total hip replacements in Indian population. J Clin Orthop Trauma. 2019;10(1):128–30.
• Russotti GM, Harris WH. Proximal placement of the acetabular component in total hip arthroplasty. A long-term follow-up study. J Bone Joint Surg Am. 1991;73(4):587–92.
• Gruen TA, McNeice GM, Amstutz HC. Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop. 1979;141):17–27.
• DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop. 1976; Charnley J, Feagin JA. Low-friction arthroplasty in congenital subluxation of the hip. Clin Orthop. 1973;
• Brooker AF, Bowerman JW, Robinson RA, Riley LHJ. Ectopic ossification following total hip replacement. Incidence and a method of classification. J Bone Joint Surg Am. 1973;55(8):1629–32.
• Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am. 1980;62(6):876–88.
• Paavilainen T. Total hip replacement for developmental dysplasia of the hip. Acta Orthop Scand. 1997;68(1):77–84. Anwar MM, Sugano N, Masuhara K, Kadowaki T, Takaoka K, Ono K. Total hip arthroplasty in the neglected congenital dislocation of the hip. A five- to 14-year follow-up study. Clin Orthop. 1993;
• Baz AB, Senol V, Akalin S, Kose O, Guler F, Turan A. Treatment of high hip dislocation with a cementless stem combined with a shortening osteotomy. Arch Orthop Trauma Surg Arch Für Orthop Unf-Chir. 2012;132(10):1481–6.
• Hartofilakidis G, Stamos K, Karachalios T, Ioannidis TT, Zacharakis N. Congenital hip disease in adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. J Bone Joint Surg Am. 1996;78(5):683–92.
• Reikeras O, Haaland JE, Lereim P. Femoral shortening in total hip arthroplasty for high developmental dysplasia of the hip. Clin Orthop. 2010;468(7):1949–55.
• Zadeh HG, Hua J, Walker PS, Muirhead-Allwood SK. Uncemented total hip arthroplasty with subtrochanteric derotational osteotomy for severe femoral anteversion. J Arthroplasty. 1999;14(6):682–8.
• Dunn HK, Hess WE. Total hip reconstruction in chronically dislocated hips. J Bone Joint Surg Am. 1976;58(6):838–45. Mendes DG, Said M, Asian K. Classification of adult congenital hip dysplasia for total hip arthroplasty. Orthopedics. 1996;19(10):881–7.
• Boos N, Krushell R, Ganz R, Müller ME. Total hip arthroplasty after previous proximal femoral osteotomy. J Bone Joint Surg Br. 1997;79(2):247–53.
• Hartofilakidis G, Stamos K, Ioannidis TT. Low friction arthroplasty for old untreated congenital dislocation of the hip. J Bone Joint Surg Br. 1988;70(2):182–6.
• Linde F, Jensen J, Pilgaard S. Charnley arthroplasty in osteoarthritis secondary to congenital dislocation or subluxation of the hip. Clin Orthop Relat Res.1988;227:164–171;
• Garvin KL, Bowen MK, Salvati EA, Ranawat CS. Long-term results of total hip arthroplasty in congenital dislocation and dysplasia of the hip. A follow-up note. J Bone Joint Surg Am. 1991;73(9):1348–54.
• Harris WH, Crothers O, Oh I. Total hip replacement and femoral-head bone-grafting for severe acetabular deficiency in adults. J Bone Joint Surg Am. 1977;59(6):752–9.
• Mulroy Jr RD HWH. The effect of improved cementing techniques on component loosening in total hip replacement. An 11-year radiographic review. J Bone Joint Surg Br. 1990;72(5):757–60.
• Inao S, Matsuno T. Cemented total hip arthroplasty with autogenous acetabular bone grafting for hips with developmental dysplasia in adults: the results at a minimum of ten years. J Bone Joint Surg Br. 2000;82(3):375–7.
• Bobak P, Wroblewski BM, Siney PD, Fleming PA, Hall R. Charnley low-friction arthroplasty with an autograft of the femoral head for developmental dysplasia of the hip: the 10-to 15-year results. J Bone Joint Surg Br. 2000;82(4):508–11.
• Gill TJ, Sledge JB, Müller ME. Total hip arthroplasty with use of an acetabular reinforcement ring in patients who have congenital dysplasia of the hip. Results at five to fifteen years. J Bone Joint Surg Am. 1998;80(7):969–79.
• Böstman OM. Metallic or absorbable fracture fixation devices: A cost minimization analysis. Clin Orthop. 1996; Pagnano MW, Hanssen AD, Lewallen DG, Shaughnessy WJ. The effect of superior placement of the acetabular component on the rate of loosening after total hip arthroplasty. Long-term results in patients who have Crowe type-II congenital dysplasia of the hip. J Bone Joint Surg Am. 1996;78(7):1004–14.
• Ferguson GM, Cabanela ME, Ilstrup DM. Total hip arthroplasty after failed intertrochanteric osteotomy. J Bone Joint Surg Br. 1994;76(2):252–7.
• Fitzgerald Jr RH KBF Brindley GW. The uncemented total hip arthroplasty. Intraoperative femoral fractures. Clin Orthop. 1988;
• Schwartz Jr JT ECA Mayer JG. Femoral fracture during non-cemented total hip arthroplasty. J Bone Joint Surg Am. 1989;71(8):1135–42.
• Schmalzried TP, Amstutz HC, Dorey FJ. Nerve palsy associated with total hip replacement. Risk factors and prognosis. J Bone Joint Surg Am. 1991;73(7):1074–80.
• Halley DK, Wroblewski BM. Long-term results of low-friction arthroplasty in patients 30 years of age or younger. Clin Orthop. 1986;
• Nercessian OA, Macaulay W, Stinchfield FE. Peripheral neuropathies following total hip arthroplasty. J Arthroplasty. 1994;9(6):645–51.
• Cameron HU, Eren OT, Solomon M. Nerve injury in the prosthetic management of the dysplastic hip. Orthopedics. 1998;21(9):980–1.
• Banaszkiewicz PA. Total hip replacement in congenital dislocation and dysplasia of the hip. Banaszkiewicz PA, Kader D, editors. London:Springer. 2014;125–8.
• Davlin LB, Amstutz HC, Tooke SM, Dorey FJ, Nasser S. Treatment of osteoarthrosis secondary to congenital dislocation of the hip. Primary cemented surface replacement compared with conventional total hip replacement. J Bone Joint Surg Am. 1990;72(7):1035–42.
• MacKenzie K JR, SS J, R.C. Total hip replacement for coxarthrosis secondary to congenital dysplasia and dislocation of the hip. Long-Term Results J Bone Jt Surg Am. 1996;78(1):55–61.
• Fredin H, Sanzen L, Sigurdsson B, Unander-Scharin L. Total hip arthroplasty in high congenital dislocation. 21 hips with a minimum five-year follow-up. J Bone Joint Surg Br. 1991;73(3):430–3.
• García-Cimbrelo E, Munuera L. Low-friction arthroplasty in severe acetabular dysplasia. J Arthroplasty. 1993;8(5):459–69.
• Yetkin C, Yildirim T, Alpay Y, Tas SK, Buyukkuscu MO, Dırvar F. Evaluation of dislocation risk factors with total hip arthroplasty in developmental hip dysplasia patients: A multivariate analysis. J Arthroplasty. 2021;36(2):636–40.