ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANGShangzeng ¹ , CHENGShao ² ,  WANGYisheng ¹

1. Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450002, P. R. China;
2. Henan University of Traditional Chinese Medicine;

Corresponding?author：

WANGYisheng, Email: whangz74@163.com

Keywords：

Total hip arthroplasty; Central dislocation of the hip joint; Old dislocation

DOI：

10.7507/1002-1892.20160215

Video：

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Objective To explore the clinical effect of total hip arthroplasty (THA) in the treatment of old central dislocation of the hip joint. Methods Between January 2010 and June 2014, 21 patients (21 hips) with old central dislocation of the hip joint underwent THA and autologous bone graft for acetabulum reconstruction. There were 13 males and 8 females, aged 60-75 years (mean, 67.4 years). The left hip was involved in 12 cases and the right hip in 9 cases, with a disease course of 1-20 years (mean, 9.6 years). The causes were falling from height in 6 cases, traffic accident in 9 cases, crushing in 4 cases, and others in 2 cases. Hip pain, limited activity, and lameness were the main clinical symptoms. Preoperative Harris score was 32.95±2.06 and visual analogue scale (VAS) was 8.14±0.73. Results Primary healing of incision was obtained in all patients. The patients were followed up 1.9-6.4 years (mean, 4.6 years). The X-ray films showed bone graft fusion at 4-24 months (mean, 12.5 months); there were no complications of grafted bone absorption, osteolysis, and infection. During follow-up, no prosthetic loosening or sinking, and no translucent zones around the prosthesis were observed. Harris score was significantly improved to 87.67±2.01 at 1 week and 92.10±1.95 at 1 year; and VAS score was significantly decreased to 2.57±0.81 at 1 week and 0.19 ±0.51 at 1 year (P < 0.05). Conclusion THA is an effective surgical treatment for old central dislocation of the hip joint, because it can restore normal hip rotation center and reconstruct the hip joint function.

Citation： WANGShangzeng, CHENGShao, WANGYisheng. ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1057-1060. doi: 10.7507/1002-1892.20160215 Copy

1.	史慶軒, 李佩佳, 羅永忠, 等.髖關節置換治療陳舊性髖臼骨折合并股骨頭脫位15例報告.中國矯形外科雜志, 2009, 17(24):1900-1901.
2.	高揚, 王維山, 董金波, 等.非手術治療髖關節中心性骨折脫位遠期療效觀察.中華實用診斷與治療雜志, 2014, 28(3):234-235, 238.
3.	賞后來, 趙建寧, 王與榮, 等.人工全髖關節置換治療陳舊性髖臼骨折早期臨床研究.中國骨傷, 2012, 25(6):505-508.
4.	Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5):759-767.
5.	張仕凱, 孫俊英, 田家祥, 等.生物型人工全髖關節置換術治療青年強直性脊柱炎髖關節病變的中期療效.中國修復重建外科雜志, 2013, 27(2):243-244.
6.	Chaus GW, Heare T. End-stage posttraumatic osteoarthritis treated with THA in osteogenesis imperfect. Orthopedics, 2012, 35(6):e950-953.
7.	Matta JM, Anderson LM, Epstein HC, et al. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res, 1986, (205):230-240.
8.	章軍輝, 凌晶, 劉華, 等.人工全髖關節置換術治療髖臼骨折繼發創傷性關節炎近期療效觀察.中國修復重建外科雜志, 2013, 27(8):990-993.
9.	Weber M, Berry DJ, Harmsen WS. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9):1295-1305.
10.	叢宇, 趙建寧.全髖關節置換術中假體周圍骨折的研究進展.中國骨傷, 2011, 24(2):178-181.
11.	Amstutz HC. Fixation failure and techniques of revision surgery in total replacement. Instr Course Lect, 1981, 30:414-421.
12.	曹林虎, 譚倫, 林旭, 等.非骨水泥人工全髖關節置換術中髖臼骨缺損重建方式選擇及對臼杯位置影響的研究.中國修復重建外科雜志, 2015, 29(6):693-699.
13.	鄒宏, 陳玉龍, 弋石泉, 等.髖臼骨折延期人工髖關節置換術的臨床觀察.四川醫學, 2013, 34(5):689-692.
14.	Slooff TJ, Huiskes R, van Horn J, et al. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand, 1984, 55(6):593-596.
15.	Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92, 675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5):497-506.
16.	孫永強, 艾進偉, 曹玉凈, 等.一期人工全髖關節置換治療髖臼骨折合并股骨頭頸骨折.中國修復重建外科雜志, 2010, 24(2):251-252.
17.	任鵬, 柴偉, 周勇剛, 等.人工全髖關節置換治療CroweⅡ、Ⅲ型發育性髖關節發育不良——非骨水泥臼杯高旋轉中心安放的短期隨訪結果.中華骨與關節外科雜志, 2015, 8(2):145-150.
18.	張勇, 朱振安, 朱明生. CroweⅡ/Ⅲ型髖關節發育不良繼發重度骨關節炎髖臼解剖旋轉中心重建方法及效果.中華關節外科雜志(電子版), 2016, 10(4):393-398.

1. 史慶軒, 李佩佳, 羅永忠, 等.髖關節置換治療陳舊性髖臼骨折合并股骨頭脫位15例報告.中國矯形外科雜志, 2009, 17(24):1900-1901.
2. 高揚, 王維山, 董金波, 等.非手術治療髖關節中心性骨折脫位遠期療效觀察.中華實用診斷與治療雜志, 2014, 28(3):234-235, 238.
3. 賞后來, 趙建寧, 王與榮, 等.人工全髖關節置換治療陳舊性髖臼骨折早期臨床研究.中國骨傷, 2012, 25(6):505-508.
4. Ranawat A, Zelken J, Helfet D, et al. Total hip arthroplasty for posttraumatic arthritis after acetabular fracture. J Arthroplasty, 2009, 24(5):759-767.
5. 張仕凱, 孫俊英, 田家祥, 等.生物型人工全髖關節置換術治療青年強直性脊柱炎髖關節病變的中期療效.中國修復重建外科雜志, 2013, 27(2):243-244.
6. Chaus GW, Heare T. End-stage posttraumatic osteoarthritis treated with THA in osteogenesis imperfect. Orthopedics, 2012, 35(6):e950-953.
7. Matta JM, Anderson LM, Epstein HC, et al. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res, 1986, (205):230-240.
8. 章軍輝, 凌晶, 劉華, 等.人工全髖關節置換術治療髖臼骨折繼發創傷性關節炎近期療效觀察.中國修復重建外科雜志, 2013, 27(8):990-993.
9. Weber M, Berry DJ, Harmsen WS. Total hip arthroplasty after operative treatment of an acetabular fracture. J Bone Joint Surg (Am), 1998, 80(9):1295-1305.
10. 叢宇, 趙建寧.全髖關節置換術中假體周圍骨折的研究進展.中國骨傷, 2011, 24(2):178-181.
11. Amstutz HC. Fixation failure and techniques of revision surgery in total replacement. Instr Course Lect, 1981, 30:414-421.
12. 曹林虎, 譚倫, 林旭, 等.非骨水泥人工全髖關節置換術中髖臼骨缺損重建方式選擇及對臼杯位置影響的研究.中國修復重建外科雜志, 2015, 29(6):693-699.
13. 鄒宏, 陳玉龍, 弋石泉, 等.髖臼骨折延期人工髖關節置換術的臨床觀察.四川醫學, 2013, 34(5):689-692.
14. Slooff TJ, Huiskes R, van Horn J, et al. Bone grafting in total hip replacement for acetabular protrusion. Acta Orthop Scand, 1984, 55(6):593-596.
15. Malchau H, Herberts P, Ahnfelt L. Prognosis of total hip replacement in Sweden. Follow-up of 92, 675 operations performed 1978-1990. Acta Orthop Scand, 1993, 64(5):497-506.
16. 孫永強, 艾進偉, 曹玉凈, 等.一期人工全髖關節置換治療髖臼骨折合并股骨頭頸骨折.中國修復重建外科雜志, 2010, 24(2):251-252.
17. 任鵬, 柴偉, 周勇剛, 等.人工全髖關節置換治療CroweⅡ、Ⅲ型發育性髖關節發育不良——非骨水泥臼杯高旋轉中心安放的短期隨訪結果.中華骨與關節外科雜志, 2015, 8(2):145-150.
18. 張勇, 朱振安, 朱明生. CroweⅡ/Ⅲ型髖關節發育不良繼發重度骨關節炎髖臼解剖旋轉中心重建方法及效果.中華關節外科雜志(電子版), 2016, 10(4):393-398.

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ACETABULUM RECONSTRUCTION AND TOTAL HIP ARTHROPLASTY FOR TREATMENT OF OLD CENTRAL DISLOCATION OF HIP JOINT

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