Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Total Hip Replacement in Post-Traumatic Hip Arthritis in Young Adult Patients
Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt
Reda H Elkady, MD, Hossam A Fekry, MD. “Total Hip Replacement in Post-Traumatic Hip Arthritis in Young Adult Patients”. American Research Journal of Orthopedics and Traumatology. 2017; 2(1): 1-9.
Abstract
Background: THA remains the only helpful solution in advanced stages of hip arthritis, but on the long run the intervention is associated with higher failure rates compared with THA in an older population. Our prospective study evaluates the results of THA in young age group of patients with post-traumatic hip arthritis.
Patients and method: Forty eight patients (36 males, 12 females) with mean age of 36 years (range 31 to 46 years) with traumatic avascular necrosis of the femoral head were operated on in the period from January 2009 to May 2015. Unilateral cementless total hip arthroplasty was performed in all patients. Indications for surgery were severe pain and loss of function in the hip. Plain X-ray was used for the diagnosis in all cases, and CT scan was needed in cases of acetabular fractures. In 24 patients AVN occurred after internal fixation of acetabular fractures, fracture proximal femur in 16 cases, and hip dislocation in 8 cases.
Results: The mean Harris Hip Score 32 was improved from 38 (preoperatively) to 82 (3 years postoperative). Twelve patients had excellent score, twenty eight good, six fair, and two patients with poor score. Improvements were seen in the range of motion in all the patients as compared to preoperative period.
Conclusion: The management of post-traumatic arthritis of the hip in young and active patients continues to be a difficult challenge. Results of cementless hip arthroplasties are good and encouraging in treating this group of patients.
Patients and method: Forty eight patients (36 males, 12 females) with mean age of 36 years (range 31 to 46 years) with traumatic avascular necrosis of the femoral head were operated on in the period from January 2009 to May 2015. Unilateral cementless total hip arthroplasty was performed in all patients. Indications for surgery were severe pain and loss of function in the hip. Plain X-ray was used for the diagnosis in all cases, and CT scan was needed in cases of acetabular fractures. In 24 patients AVN occurred after internal fixation of acetabular fractures, fracture proximal femur in 16 cases, and hip dislocation in 8 cases.
Results: The mean Harris Hip Score 32 was improved from 38 (preoperatively) to 82 (3 years postoperative). Twelve patients had excellent score, twenty eight good, six fair, and two patients with poor score. Improvements were seen in the range of motion in all the patients as compared to preoperative period.
Conclusion: The management of post-traumatic arthritis of the hip in young and active patients continues to be a difficult challenge. Results of cementless hip arthroplasties are good and encouraging in treating this group of patients.
