Caroline Scemama1, Vincent Lestrat2, Benoit Combourieu2, Thierry Judet2. 1. Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France. scemamacaroline@gmail.com. 2. Department of Reconstructive and Orthopaedic Surgery, Raymond Poincaré Hospital (AP-HP), Garches, France.
Abstract
PURPOSE: Hip fusion conversion has shown mixed results, in particular a higher rate of failure than primary total hip replacement. Conversion is usually carried out by a lateral approach. METHODS: We reported a series of 37 hip fusion conversions performed by an anterior approach. Clinical and radiographic outcomes of this unusual approach were reported at eight years of follow up. RESULTS: At eight years of follow up, survivorship was 86. 6 % (IC 95 %: 62.4-95.7 %). Sixteen patients reported good relief of the pre-operative back spine or knee pain. PMA score was significantly improved. Two implant aseptic loosenings needing revision surgery were reported. CONCLUSION: The anterior approach seemed to be as good as the other hip approaches for hip fusion conversion to total hip replacement.
PURPOSE: Hip fusion conversion has shown mixed results, in particular a higher rate of failure than primary total hip replacement. Conversion is usually carried out by a lateral approach. METHODS: We reported a series of 37 hip fusion conversions performed by an anterior approach. Clinical and radiographic outcomes of this unusual approach were reported at eight years of follow up. RESULTS: At eight years of follow up, survivorship was 86. 6 % (IC 95 %: 62.4-95.7 %). Sixteen patients reported good relief of the pre-operative back spine or knee pain. PMA score was significantly improved. Two implant aseptic loosenings needing revision surgery were reported. CONCLUSION: The anterior approach seemed to be as good as the other hip approaches for hip fusion conversion to total hip replacement.
Entities:
Keywords:
Anterior approach; Hip arthrodesis; Implant loosening; Total hip replacement
Authors: Mariano Fernandez-Fairen; Antonio Murcia-Mazón; Ana Torres; Virginia Querales; Antonio Murcia Journal: Clin Orthop Relat Res Date: 2010-11-30 Impact factor: 4.176