Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation
Objective: There is limited literature concerning the outcomes and role of THA as a surgical option for amputee patients. The aim of this study is to determine the mid-to long-term survival and complication rates of cementless total hip arthroplasty (THA) in patients with contralateral below knee am...
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| Format: | Article |
| Language: | English |
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AVES
2018-09-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17300974 |
| _version_ | 1797909044672856064 |
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| author | Hong-Man Cho Jae-Woong Seo Hyun-Ju Lee Kyu-Bok Kang Jung-Ryul Kim Ho-Wook Wee |
| author_facet | Hong-Man Cho Jae-Woong Seo Hyun-Ju Lee Kyu-Bok Kang Jung-Ryul Kim Ho-Wook Wee |
| author_sort | Hong-Man Cho |
| collection | DOAJ |
| description | Objective: There is limited literature concerning the outcomes and role of THA as a surgical option for amputee patients. The aim of this study is to determine the mid-to long-term survival and complication rates of cementless total hip arthroplasty (THA) in patients with contralateral below knee amputations. Methods: A retrospective review of 54 patients with below knee amputation were perfomed who underwent THA for osteoarthritis of the contralateral hip over a 5-year period between 1999 and 2014. Patients were monitored for at least 5 years and assessed with the Harris Hip Score and activities of daily living scale and by evaluating migration or osteolysis around the acetabular cup and femoral stems (amputee group). The amputee group was compared with a control group (non-amputee group) with the same number of patients. Results: Differences in the Harris Hip Score (p = 0.021) and activities of daily living scale (p = 0.043) between the two groups were statistically significant lower in the amputee group at 3 months after surgery. However, no differences were found between the groups from 6 months postoperatively to the last follow-up (Harris Hip Score p = 0.812, activities of daily living scale p = 0.885). Radiologically, any cups or stems showed no signs of migration or osteolysis. In the amputee group, dislocation was found in 1 patient 2 months after arthroplasty (p = 0.315) and long stem revision surgery were performed on two patients due to periprosthetic fracture (p = 0.153). Conclusions: THA performed on the contralateral side of patients with below knee amputation is considered to be an effective treatment with good clinical and radiological results at mid-to long-term follow-up. Level of evidence: Level IV, therapeutic study. Keywords: Below knee amputation, Lower extremity amputation, Osteoarthritis, Total hip arthroplasty, Functional recovery |
| first_indexed | 2024-04-10T11:02:18Z |
| format | Article |
| id | doaj.art-825f3324c63d4611af2ab179969cd9ed |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:02:18Z |
| publishDate | 2018-09-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-825f3324c63d4611af2ab179969cd9ed2023-02-15T16:19:36ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2018-09-01525343347Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputationHong-Man Cho0Jae-Woong Seo1Hyun-Ju Lee2Kyu-Bok Kang3Jung-Ryul Kim4Ho-Wook Wee5Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, South Korea; Corresponding author. Department of Orthopedic Surgery, Gwangju Veterans Hospital, Cheomdanwolbong-ro 99, Gwangsan-gu, Gwangju, 62284, South Korea. Tel.: +82 62 602 6162. Fax: +82 62 602 6936.Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, South KoreaDepartment of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, South KoreaDepartment of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South KoreaDepartment of Orthopedic Surgery, Busan Veterans Hospital, Busan, South KoreaDepartment of Orthopedic Surgery, Daegu Veterans Hospital, Daegu, South KoreaObjective: There is limited literature concerning the outcomes and role of THA as a surgical option for amputee patients. The aim of this study is to determine the mid-to long-term survival and complication rates of cementless total hip arthroplasty (THA) in patients with contralateral below knee amputations. Methods: A retrospective review of 54 patients with below knee amputation were perfomed who underwent THA for osteoarthritis of the contralateral hip over a 5-year period between 1999 and 2014. Patients were monitored for at least 5 years and assessed with the Harris Hip Score and activities of daily living scale and by evaluating migration or osteolysis around the acetabular cup and femoral stems (amputee group). The amputee group was compared with a control group (non-amputee group) with the same number of patients. Results: Differences in the Harris Hip Score (p = 0.021) and activities of daily living scale (p = 0.043) between the two groups were statistically significant lower in the amputee group at 3 months after surgery. However, no differences were found between the groups from 6 months postoperatively to the last follow-up (Harris Hip Score p = 0.812, activities of daily living scale p = 0.885). Radiologically, any cups or stems showed no signs of migration or osteolysis. In the amputee group, dislocation was found in 1 patient 2 months after arthroplasty (p = 0.315) and long stem revision surgery were performed on two patients due to periprosthetic fracture (p = 0.153). Conclusions: THA performed on the contralateral side of patients with below knee amputation is considered to be an effective treatment with good clinical and radiological results at mid-to long-term follow-up. Level of evidence: Level IV, therapeutic study. Keywords: Below knee amputation, Lower extremity amputation, Osteoarthritis, Total hip arthroplasty, Functional recoveryhttp://www.sciencedirect.com/science/article/pii/S1017995X17300974 |
| spellingShingle | Hong-Man Cho Jae-Woong Seo Hyun-Ju Lee Kyu-Bok Kang Jung-Ryul Kim Ho-Wook Wee Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation Acta Orthopaedica et Traumatologica Turcica |
| title | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation |
| title_full | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation |
| title_fullStr | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation |
| title_full_unstemmed | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation |
| title_short | Mid-to long-term results of total hip arthroplasty after contralateral lower extremity amputation |
| title_sort | mid to long term results of total hip arthroplasty after contralateral lower extremity amputation |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17300974 |
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