Functional Results of Total Hip Arthroplasty for Ankylosed Hip by Yildiz Analay Akbaba in Juniper Publishers in Juniper Online Journal of Orthopedic & Orthoplastic Surgery
Abstract:
Objective: To evaluate the long term results of THA in patients with surgically hip ankylosed and define a postoperative rehabilitation program for this patients.
Materials & Methods: Seven patients’ 8 hips in whom ankylosed hips were converted to total hip arthroplasty between October 2011 and November 2015. All patients had surgery ankylosis. All patients received the same rehabilitation program after total hip arthroplasty. The patients evaluated before surgery and after 1 year surgery for lomber and kontralateral hip pain, hip joint range of motion, funtional status and satisfaction from treatment.
Result: In our study the etiology of the ankylosis was tuberculous septic arthritis in 2 (25%) and developmental hip dysplasia in 6 (75%) hips. The mean duration of the surgical ankylosis before conversion surgery was 29±13.6 years. The mean age of the patients was 41.5±14.5 years (mean ± SD] met all of the inclusion criteria. All patients had osseous ankylosis and the indications for arthroplasty were intractable low back pain in 6 patients (85.7%), hip pain in 4 patients (57.1%). Complications occurred in two patients.
The mean follow-up period was 13±2.7 months. There was statistically significant improvement in lomber and contra lateral hip pain, hip joint range of motion, functional status and satisfaction from treatment after treatment (P=0.00]. One-hundred percent of patients were stated that they were much better than before treatment.
Conclusion: Function, range of motion of hip, lumbar and contralateral hip pain on the same side showed a marked improvement after conversion of hip ankylosis to total hip arthroplasty.
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