OUTCOME OF CEMENTLESS TOTAL HIP ARTHROPLASTY FOR OSTEONECROSIS OF THE HIP IN TAM ANH HOSPITAL

Tuấn Anh Tạ1,, Trung Dũng Trần2
1 Hanoi Medical University
2 VinUniversity

Main Article Content

Abstract

Introduction: Evaluation of the outcome of primary Total Hip Arthroplasty in treatment of osteonecrosis. Method: We retrospectively reviewed the outcome of 22 patients who underwent 26 primary total hip arthroplasty in the treatment of hip osteonecrosis in Tam Anh Hospital between August 2020 and December 2021. The outcome was assessed by Harris Hip Score; dislocation rate and patients’ satisfaction. Result: Mean age was 56.22 ± 10.91years old. 50% of the patients were males and 64% of the patients were less than or equal to 60 years old. The mean follow-up time was 12 months. The average pre-op HHS and post-op HHS were 53.69 ± 5.81 and 91.50 ± 3.33, respectively. There were no major complications such as dislocation; intraprosthesis dislocation, aseptic loosening, or revision at the latest follow-up. 100% of the patients were satisfied with the procedure. Conclusion: Cementless total hip arthroplasty for osteonecrosis of the hip yields good postoperative results in terms of hip function, and quality of life.

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References

1. Moya-Angeler J. Current concepts on osteonecrosis of the femoral head. World J Orthop. 2015;6(8):590. doi:10.5312/wjo.v6.i8.590
2. Phan Bá Hải. Nghiên Cứu Kết Quả Thay Khớp Háng Toàn Phần Trên Bệnh Nhân Hoại Tử vô Khuẩn Chỏm Xương Đùi Tại Bệnh Viện Hữu Nghị Việt Đức. Luận án Tiến sỹ Y học. Trường Đại học Y Hà Nội; 2022.
3. Røkkum M, Reigstad A. Total hip replacement with an entirely hydroxyapatite-coated prosthesis. J Arthroplasty. 1999;14(6):689-700. doi:10.1016/S0883-5403(99)90224-3
4. Xie XH, Wang XL, Yang HL, Zhao DW, Qin L. Steroid-associated osteonecrosis: Epidemiology, pathophysiology, animal model, prevention, and potential treatments (an overview). J Orthop Transl. 2015;3(2):58-70. doi:10.1016/ j.jot.2014.12.002
5. Lưu Thị Bình. Nghiên Cứu Lâm Sàng và Chẩn Đoán Hình Ảnh Hoại Tử vô Khuẩn Chỏm Xương Đùi ở Người Lớn. Học viện Quân Y; 2011.
6. Huỳnh Văn Khoa. Nghiên Cứu Các Đặc Điểm Lâm Sàng, Cận Lâm Sàng Của Hoại Tử vô Khuẩn Chỏm Xương Đùi ở Người Lớn. Đại học Y Hà Nội; 2002.
7. Mont MA, Zywiel MG, Marker DR, McGrath MS, Delanois RE. The Natural History of Untreated Asymptomatic Osteonecrosis of the Femoral Head: A Systematic Literature Review. J Bone Jt Surg-Am Vol. 2010;92(12):2165-2170. doi:10.2106/JBJS.I.00575
8. Pflüger G, Junk-Jantsch S, Schöll V. Minimally invasive total hip replacement via the anterolateral approach in the supine position. Int Orthop. 2007;31(S1):7-11. doi:10.1007/s00264-007-0434-6
9. Martin R, Clayson PE, Troussel S, Fraser BP, Docquier PL. Anterolateral Minimally Invasive Total Hip Arthroplasty. J Arthroplasty. 2011;26(8):1362-1372. doi:10.1016/j.arth.2010.11.016