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Intermediate-term results after hybrid total hip arthroplasty for the treatment of dysplastic hips

https://asahikawa-med.repo.nii.ac.jp/records/665
https://asahikawa-med.repo.nii.ac.jp/records/665
22e8b597-9eaa-4a47-8ede-b6d031146baa
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838.pdf 838.pdf (716.6 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2008-01-08
タイトル
タイトル Intermediate-term results after hybrid total hip arthroplasty for the treatment of dysplastic hips
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
著者 伊藤, 浩

× 伊藤, 浩

伊藤, 浩

ja-Kana イトウ, ヒロシ

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Matsuno, T

× Matsuno, T

Matsuno, T

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Minami, A

× Minami, A

Minami, A

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Aoki, Y

× Aoki, Y

Aoki, Y

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著者 ローマ字
Ito, Hiroshi
書誌情報 Journal of Bone & Joint Surgery

巻 85, 号 A9, p. 1725-1732, 発行日 2003-09-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 0021-9355
リンクURL
内容記述タイプ Other
内容記述 http://www.ncbi.nlm.nih.gov/pubmed?term=Intermediate-term%20results%20after%20hybrid%20total%20hip%20arthroplasty%20for%20the%20treatment%20of%20dysplastic%20hips | http://www.ncbi.nlm.nih.gov/pubmed?term=Intermediate-term%20results%20after%20hybrid%20total%20hip%20arthroplasty%20for%20the%20treatment%20of%20dysplastic%20hips
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND: In recent studies, good intermediate-term results have been reported after primary hybrid total hip arthroplasty (a cementless acetabular component with a cemented femoral stem) for the treatment of primary osteoarthritis. However, few studies have described the results of this technique in patients with developmental dysplasia of the hip. METHODS: One hundred primary hybrid total hip replacements were performed in ninety patients to treat degenerative arthritis of the hip secondary to developmental dysplasia. Seventy-one patients (eighty-one hips) were available for clinical and radiographic evaluation. The average duration of follow-up was 10.6 years. There were ten men and sixty-one women. Seventy hips were classified as type 1 (dysplasia); seven, as type 2 (low dislocation); and four, as type 3 (high dislocation), according to the classification system of Hartofilakidis et al. RESULTS: At the time of the final follow-up, the average Harris hip score was 86 points. Structural autograft was used in fifteen hips to supplement acetabular coverage. Within five years postoperatively, the acetabular component in six of the fifteen hips had an average of 4.5 mm of vertical migration and an average increase in vertical rotation of 3 degrees, but the position appeared to stabilize thereafter. Revisions were performed in two hips because of recurrent dislocation. No acetabular or femoral component was revised because of aseptic loosening. Osteolysis was identified around two acetabular components and two femoral components. The average rate of polyethylene wear was 0.09 mm per year. CONCLUSIONS: Hybrid total hip arthroplasty for the treatment of symptomatic degenerative arthritis secondary to developmental dysplasia provides favorable results at intermediate-term follow-up. With lower grades of dysplasia, the majority of patients can be treated effectively without a structural bone graft by placement of the cementless acetabular component at a medial or high position.
注記
内容記述タイプ Other
注記 Journal of Bone and Joint Surgery, Ito, Hiroshi ; Matsuno, Takeo ; Minami, Akio ; Aoki, Yoshimitsu, Journal of Bone & Joint Surgery, 85(A9), 2003, 1725-1732.
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資源タイプ text
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