Total hip arthroplasty practices in coxarthrosis cases(mid-term results)

Yıl 2012, Cilt: 19 Sayı: 1, 1 - 5, 30.03.2012

Halil Burç Ali Çaloğlu Vecihi Kırdemir Tolga Atay Yakup Baykal Hüseyin Yorgancıgil

Öz

Objectives: The aim of this study is to analyse the midterm results of patients diagnosed with coxarthrosis who had also undergo surgery for total hip artroplasty. Material and Method: Uncemented total hip arthroplasty was performed on 34 hips of 30 patients diagnosed with coxarthrosis and treated with uncemented total hip prosthesis in orthopaedics and traumatology clinic between 2005-2008. Of these 30 patients, 20 were female and 10 were male and the average age was 59.4; youngest being 32 and oldest 79. Average followup period was 37.5 months. 12 cases were operated on right hip and 14 cases were operated on left hip; 4 patients had operation of both of the hips. Results: All of the patients are evaluated with Harris Hip Score. Average preoperative Harris score of the patients was 39.2 and average postoperative score was 94.06. According to these findings, results were perfect in 24 patients, good in 5 patients and moderate in 1 patient. Conclusion: Compared to the findings in literature, our mid-term clinical and radiological results were determined as successful.

Anahtar Kelimeler

Total Hip Arthroplasty, Modified Harris Hip Score, Mid-term results

KOKSARTROZ OLGULARINDA TOTAL KALÇA ARTROPLASTİSİ UYGULAMALARIMIZ (ORTA DÖNEM SONUÇLARI)

Öz

Bu çalışma ile koksartroz tanısı nedeni ile total kalça protezi endikasyonu konulan hastalara uygulanan total kalça artroplastisi ameliyatlarının orta dönem sonuçları araştırılmıştır.
Kliniğimizde 2005-2008 yılları arasında koksartroz tanısı konulan ve çimentosuz total kalça protezi uygulanarak tedavisi yapılan 30 hastanın 34 kalçasına çimentosuz total kalça artroplastisi uygulanmıştır. 20'si kadın 10'nu erkek hastadan oluşan grubumuzun ortalama takip süresi 37.5 aydır. Hastalarımızın ortalama yaşı 59.4 olup, en genç hasta 32 ve en yaşlı hasta ise 79 yaşındaydı.
Hastalarımızın 12 tanesi sağ kalçasından, 14 tanesi ise sol kalçasından opere edildi. 4 hasta ise her iki kalçasından opere edildi.
Hastalar Harris Kalça Değerlendirme Skoru ile değerlendirilmiştir. Hastaların ameliyat öncesi Harris skoru 39.2 iken, ameliyat sonrasında Harris skoru 94.06 olarak bulunmuştur. Bu sonuçlara göre 24 hastada mükemmel sonuç, 5 hastada iyi sonuç ve 1 hastada orta sonuç elde edilmiştir. Literatür bilgileri ile karşılaştırıldığında uyguladığımız çimentosuz total kalça protezlerinin orta dönem klinik ve radyolojik sonuçlarının başarılı olduğu bulunmuştur. 

Anahtar Kelimeler

Total kalça Artroplastisi, Modifiye Haris Kalça Skorlamasý, Orta Dönem Sonuçlar

Kaynakça

• Wiles P., The classic.-The surgery of the osteo-arthritic hip, Clin Orthop Relat Res, 417, 3-16, 2003.
• Huo M.H., Primary Total Hip Replacement, http://www.orthopedics.hyperguide.com, 2007.
• Laupacis, A., Bourne, B., Rorabeck, C., Fenny, D., Tugwell, P., Wong, C., Comparison of total hip arthroplasty performed with and without cement: a randomized trial, J Bone Joint Surg, 84, 1823-1828, 2002.
• Velyvis, J.H., Rubash, H.E., Callaghan, J.J., Primary total hip arthroplasty: cementless and cemented. Orthopaedic Knowledge Update: Hip and Knee Reconstruction 3, Third Edition, Rosemont, Illionis, 439-456, 2006.
• Hellman, E.J., Capello, W.N., Feinberg, J.R., Omnifit cementless total hip arthroplasty. A 10-year average follow-up, Clin Orthop Relat Res, 364, 164-174, 1999.
• Kim, Y.H., Long-term results of the cementless porous- coated anatomic total hip prothesis, J Bone Joint Surg Br, 87-B(5), 623-627, 2005.
• Kim Y.H., Kim V.E.M.: Uncemented porous coated anatomic total hip replacement. The Journal Of Bone And Joint Surgery 75B,1993, 6-13.
• Ali, S., Primer koksartroz hastalara uygulanan hibrid total kalça protezlerinin orta dönem sonuçlarý, Uzmanlýk Tezi, Ankara Üniversitesi Týp Fakültesi Ortopedi ve Travmatoloji Ana Bilim Dalý, Ankara, 2000.
• Öcalan, F.E., Sementli, sementsiz ve hibrid total kalça artroplasti uygulamalarýnda asetabular komponentlerin karþýlaþtýrýlmalý sonuçlarý, Uzmanlýk tezi, Ýstanbul Üniversitesi Cerrahpaþa Týp Fakültesi, Ýstanbul, 1996.
• Chan, Y.K., Chiu, K.Y., Yip, D.K.H., Ng, T.P., Tang, W.M., Full weight bearing after non-cemented total hip replacement is compatible with satisfactory results, International Orthopedics, 27, 94-97, 2003.
• Bojescul, J.A., Xenos, J.S., Callaghan, J.J., Savory, C.G., Results of porous-coated anatomic total hip arthroplasty without cement at fifteen years: a concise follow-up of a previous report, J Bone Joint Surg Am, 85-A(6), 1079-1083, 2003.
• Sakalkale DP, Egn KMS, Hozack WJ, et al. Minimum 10 year results of a tapered cementless hip replacement. Clin Orthop Relat Res. 1999 May;(362):138-144.
• Park, S.Y., Lee, Y.J., Yun H.S. ve ark., Comparison of hydroxyapatite and porouscoated stems in total hip replacement, Acta Orthop Scand, 74(3), 259-263, 2003.
• Keisu, K.S., Orozco, F., Sharkey, F.P., ve ark., Primary cementless total hip arthroplasty in octogenarians. Two to eleven-year follow-up, J Bone Joint Surg Am, 83- A(3), 359-363, 2001.
• Moskal TJ, Jordan L, Brown T. The porous coated anatomic total hip prosthesis:11 to 13 year results. J Arthroplasty 2004 Oct;19(7):837-844.
• Poss R., Walker P., Spector M., Sledge C.B.: Stratagies
• For Improving Fixation Of Femoral Components In Total Hip Arthroplasty. Clinical Orthopaedics and Releated Research 235 1988, 181-194.
• Moreland J.R.: Primary Total Hip Arthroplasty. Operative Orthopaedics, Ed: Chapman M.W., J.B. Lippincott Company, Philadelphia, 1993, Chapter 129, 1873-1887.
• Jasty M., Maloney W.J., Harris W.H.: Ingrowth Of Bone In Failed Fixation Of Porous- Coated Femoral Components. The Journal Of Bone And Joint Surgery 73 A 1991, 1331-1337.
• Fitzgerald R.H., Brindley G.W., Kavanagh B.F.: The Uncemented Total Hip Arthroplasty. Intraoperative Femoral Fracture. Clinical Orthopaedics and Releated Research. 235 1988, 61-66.
• Schwartz J.T., Maryland B., Mayer J.G., Engh C.A.: Femoral Fracture During Non- Cemented Total Hip Arthroplasty. The Journal Of Bone And Joint Surgery 71 A: 1989, 1135-1142.
• Masri, B.A., Davidson, D.D., ve ark, Total Hip Arthroplasty Complications, Orthopaedic Knowledge Update: Hip and Knee Reconstruction 3, Third Edition, Rosemont, Illionis, 225-231, 2006.
• Kim Y.H., Suh J.S: Low Incidence Of Deep-vein Thrombosis After Cementless Total Hip Replacement. The Journal of Bone and Joint Surgery 70A, July 1988, 878-882.