Total Hip Arthroplasty for Arthrodesed Hips

The benefits of converting an ankylosed or arthrodesed hip to total hip arthroplasty have been reported in the literature as have the technical difficulties associated with this procedure. 1,2,4 This review, however, outlines the experience of a single surgeon (WJMB) at a single institution using un...

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Main Authors: M.B. Howard, W.J.M. Bruce, W. Walsh, J.A. Goldberg
Format: Article
Language:English
Published: SAGE Publishing 2002-06-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900201000106
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author M.B. Howard
W.J.M. Bruce
W. Walsh
J.A. Goldberg
author_facet M.B. Howard
W.J.M. Bruce
W. Walsh
J.A. Goldberg
author_sort M.B. Howard
collection DOAJ
description The benefits of converting an ankylosed or arthrodesed hip to total hip arthroplasty have been reported in the literature as have the technical difficulties associated with this procedure. 1,2,4 This review, however, outlines the experience of a single surgeon (WJMB) at a single institution using uncemented prostheses. Between November 1991 and June 1996, 5 arthrodesed hips underwent uncemented total hip arthroplasty in 4 males and 1 female. Clinical and radiological follow-up review was for at least three years in all patients. In general, patients were satisfied with the outcome of their surgery with Harris Hip scores improving from an average of 62 preoperatively to an average of 72 postoperatively. The surgical outcome in these difficult cases was not as satisfactory as for routine total hip arthroplasty. Meticulous preoperative planning is required to aim toward leg length restoration and restoration of the abductor moment arm 5 . A modular prosthesis allows versatility at surgery.
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spelling doaj.art-2c3409a40ac84aaebba47f3c0c1d2a012022-12-22T00:28:29ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902002-06-011010.1177/230949900201000106Total Hip Arthroplasty for Arthrodesed HipsM.B. HowardW.J.M. BruceW. WalshJ.A. GoldbergThe benefits of converting an ankylosed or arthrodesed hip to total hip arthroplasty have been reported in the literature as have the technical difficulties associated with this procedure. 1,2,4 This review, however, outlines the experience of a single surgeon (WJMB) at a single institution using uncemented prostheses. Between November 1991 and June 1996, 5 arthrodesed hips underwent uncemented total hip arthroplasty in 4 males and 1 female. Clinical and radiological follow-up review was for at least three years in all patients. In general, patients were satisfied with the outcome of their surgery with Harris Hip scores improving from an average of 62 preoperatively to an average of 72 postoperatively. The surgical outcome in these difficult cases was not as satisfactory as for routine total hip arthroplasty. Meticulous preoperative planning is required to aim toward leg length restoration and restoration of the abductor moment arm 5 . A modular prosthesis allows versatility at surgery.https://doi.org/10.1177/230949900201000106
spellingShingle M.B. Howard
W.J.M. Bruce
W. Walsh
J.A. Goldberg
Total Hip Arthroplasty for Arthrodesed Hips
Journal of Orthopaedic Surgery
title Total Hip Arthroplasty for Arthrodesed Hips
title_full Total Hip Arthroplasty for Arthrodesed Hips
title_fullStr Total Hip Arthroplasty for Arthrodesed Hips
title_full_unstemmed Total Hip Arthroplasty for Arthrodesed Hips
title_short Total Hip Arthroplasty for Arthrodesed Hips
title_sort total hip arthroplasty for arthrodesed hips
url https://doi.org/10.1177/230949900201000106
work_keys_str_mv AT mbhoward totalhiparthroplastyforarthrodesedhips
AT wjmbruce totalhiparthroplastyforarthrodesedhips
AT wwalsh totalhiparthroplastyforarthrodesedhips
AT jagoldberg totalhiparthroplastyforarthrodesedhips