Total Hip Replacement Arthroplasty: An Analysis of First 47 Arthroplasties in Patients
10.4055/jkoa.1976.11.4.615
- Author:
Duk Yong LEE
;
Myung Ho KIM
- Publication Type:Case Report
- MeSH:
Adult;
Arthritis, Rheumatoid;
Arthroplasty;
Arthroplasty, Replacement, Hip;
Dislocations;
Female;
Femur Neck;
Follow-Up Studies;
Hip;
Humans;
Legg-Calve-Perthes Disease;
Male;
Necrosis;
Orthopedics;
Osteoarthritis;
Prostheses and Implants;
Seoul;
Tuberculosis
- From:The Journal of the Korean Orthopaedic Association
1976;11(4):615-630
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In the past several years, total hip replacement arthroplasty has become an established procedure in the management of painful arthritic hips in older adults. It is still gaining an increasing popularity as experience has accumulated and indications broadened. The authors reviewed the first 47 total hip replacement arthroplasties in 41 patients performed at the Department of Orthopedic Surgery, Seoul National Univerity Hospital, during the period of 4 years and 8 months, from April 1972 to November 1976. The longest follow-up was 4 years and 8 months and the shortest 1 month, the average being 2 years and 1 month. The youngest age was 17 years and the oldest 71 years, the average being 41 years. There were 26 males and 15 females. The underlying etiology was as follows: primary osteoarthritis 4 hips, avascular necrosis 12 hips, septic hip residua 18 hips (pyogenic 11 hips, tuberculosis 7 hips), rheumatoid arthritis 3 hips, failed previous operation 3 hips (failed endoprosthesis 2 hips, failed total hip replacement 1 hip), secondary osteoarthritis 5 hips (congenital dislocation 4 hips, Legg-Perthes disease 1 hip), and nonunion of femoral neck 2 hips. Following types of prosthesis were used; Sbarbaro 3, Charnley 8 (including custom-made extralong, narrow stem and extra-small stem prostheses), Muller 22, and Trapezoidal-28 14. The results were evaluated by the methods of Harris and d'Aubigne, both preoperatively and postoperatively, In the average, Harris' score improved from 57 to 92 (gains of 35) and the d'Aubigne rating from 10.4 to 16.8 (gains of 6.2) following operations.
