TOTAL HIP ARTHROPLASTY FOR NON-FUNCTIONAL BONY ANKYLOSED HIP IN YOUNG AND MIDDLE-AGED PATIENTS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

FUYingxu , XUBoyong ,  Asihaerjiang·Maimaitiyiming , CAOLi , Aili·Rehei

Department of Joint Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang, 830000, P. R. China;

Corresponding author：

Asihaerjiang·Maimaitiyiming, Email: askar660525@126.com

Keywords：

Hip joint; Non-functional bony ankylosis; Total hip arthroplasty; Young and middle-aged patients

DOI：

10.7507/1002-1892.20140231

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Objective To explore the effectiveness of total hip arthroplasty (THA) for non-functional bony ankylosed hip in young and middle-aged patients. Methods Between January 2010 and March 2013, 14 cases (19 hips) of non-functional bony ankylosed hip were treated by THA. There were 9 males and 5 females, aged 37.5 years on average (range, 23-58 years). The left hip was involved in 6 cases, the right hip in 3 cases, and bilateral hips in 5 cases. The causes were tuberculosis in 2 patients, ankylosing spondylitis in 5 patients, traumatic arthritis in 5 patients, osteoarthritis in 1 patient, and suppurative infection in 1 patient. The disease duration was 7-18 years with an average of 8.9 years. Flexion stiffness was observed in 10 hips, flexion abduction stiffness in 6 hips, and flexion adduction shortening stiffness in 3 hips. Only 5 patients could walk with a crutch before operation. Harris hip score was 24.368±7.625. Results The average operation time was 63.4 minutes (range, 50-90 minutes). The average intraoperative blood loss was 196.8 mL (range, 100-400 mL). Patients obtained primary healing of incision; no complication of neurovascular injury, fracture, joint dislocation, or infection occurred. All patients were followed up 2.2 years on average (range, 1 year to 4 years and 3 months). The Harris score was 86.837±7.742 at last follow-up, showing significant difference when compared with preoperative score (t=-41.956, P=0.000). The results were excellent in 5 hips, good in 11 hips, fair in 2 hips, and poor in 1 hip, with an excellent and good rate of 84.2%. All patients could basically take care of themselves; 2 patients could walk with crutch, and the other patients could walk without crutch. X-ray films showed that prosthesis was in good position; no shifting, loosening, or sinking was found. Heterotopic ossification occurred in 2 hips. Conclusion THA is an effective surgical approach to treat non-functional bony ankylosed hip in young and middle-aged patients.

Citation： FUYingxu, XUBoyong, Asihaerjiang·Maimaitiyiming, CAOLi, Aili·Rehei. TOTAL HIP ARTHROPLASTY FOR NON-FUNCTIONAL BONY ANKYLOSED HIP IN YOUNG AND MIDDLE-AGED PATIENTS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(9): 1058-1061. doi: 10.7507/1002-1892.20140231 Copy

1.	韦善平, 蓝岚, 覃欢, 等.髋关节骨性强直畸形全髋置换术近期疗效分析.中国骨与关节外科, 2011, 4(5):397-399.
2.	徐步国, 严世贵, 王祥华, 等.全髋关节置换术治疗强直性脊柱炎髋关节强直的中期疗效随访.中国骨伤, 2013, 26(12):1052-1056.
3.	Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation.J Bone Joint Surg (Am), 1969, 51(4):737-755.
4.	Sloan AG, Jones HW, Porter ML, et al.Surgical approaches for total hip arthroplasty.Orthopaedics and Trauma, 2010, 24(6):455-462.
5.	Li J, Wang Z, Li M, et al.Total hip arthroplasty using a combined anterior and posterior approach via a lateral incision in patients with ankylosed hips.Can J Surg, 2013, 56(5):332-340.
6.	Bhan S, Eachempati KK, Malhotra R.Primary cementless total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis.J Arthroplasty, 2008, 23(6):859-866.
7.	曾春, 宋炎成, 蔡道章, 等.全髋关节置换术治疗强直性脊柱炎髋关节骨性强直的临床研究.中华关节外科杂志(电子版), 2010, 4(1):63-68.
8.	Archbold HA, Mockford B, Molloy D, et al.The transverse acetabular ligament:an aid to orientation of the acetabular component during primary total hip replacement:a preliminary study of 1000 cases investigating postoperative stability.J Bone Joint Surg (Br), 2006, 88(7):883-886.
9.	McCollum DE, Gray WJ.Dislocation after total hip arthroplasty.Causes and prevention.Clin Orthop Relat Res, 1990, (261):159-170.
10.	Maruyama M, Feinberg JR, Capello WN, et al.The Frank Stinchfield Award:morphologic features of the acetabulum and femur:anteversion angle and implant positioning.Clin Orthop Relat Res, 2001, (393):52-65.
11.	Sotereanos NG, Miller MC, Smith B, et al.Using intraoperative pelvic landmarks for acetabular component placement in total hip arthroplasty.J Arthroplasty, 2006, 21(6):832-840.
12.	Walker TA, Mihalko WM.Avoiding and treating heterotopic ossification after total hip arthroplasty.Seminars in Arthroplasty, 2012, 23(3):128-134.
13.	Nunley RM, Zhu J, Clohisy JC, et al.Aspirin decreases heterotopic ossification after hip resurfacing.Clin Orthop Relat Res, 2011, 469(6):1614-1620.
14.	Spinarelli A, Patella V, Petrera M, et al.Heterotopic ossification after total hip arthroplasty:our experience.Musculoskelet Surg, 2011, 95(1):1-5.
15.	Seegenschmiedt MH, Makoski HB, Micke O, et al.Radiation prophylaxis for heterotopic ossification about the hip joint-a multicenter study.Int J Radiat Oncol Biol Phys, 2011, 51(3):756-765.
16.	覃祖恩, 韦寿繁, 卢长巍, 等.双侧同期无柄髋关节置换治疗青壮年股骨头坏死11例报告.中国矫形外科杂志, 2013, 21(17):1796-1798.
17.	钱本文.无柄髋关节是少量应力遮挡的人工髋关节.中国矫形外科杂志, 2011, 19(4):325-329.
18.	Takenaga RK, Callaghan JJ, Bedard NA, et al.Cementless total hip arthroplasty in patients fifty years of age or younger:a minimum ten-year follow-up.J Bone Joint Surg (Am), 2012, 94(23):2153-2159.

1. 韦善平, 蓝岚, 覃欢, 等.髋关节骨性强直畸形全髋置换术近期疗效分析.中国骨与关节外科, 2011, 4(5):397-399.
2. 徐步国, 严世贵, 王祥华, 等.全髋关节置换术治疗强直性脊柱炎髋关节强直的中期疗效随访.中国骨伤, 2013, 26(12):1052-1056.
3. Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation.J Bone Joint Surg (Am), 1969, 51(4):737-755.
4. Sloan AG, Jones HW, Porter ML, et al.Surgical approaches for total hip arthroplasty.Orthopaedics and Trauma, 2010, 24(6):455-462.
5. Li J, Wang Z, Li M, et al.Total hip arthroplasty using a combined anterior and posterior approach via a lateral incision in patients with ankylosed hips.Can J Surg, 2013, 56(5):332-340.
6. Bhan S, Eachempati KK, Malhotra R.Primary cementless total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis.J Arthroplasty, 2008, 23(6):859-866.
7. 曾春, 宋炎成, 蔡道章, 等.全髋关节置换术治疗强直性脊柱炎髋关节骨性强直的临床研究.中华关节外科杂志(电子版), 2010, 4(1):63-68.
8. Archbold HA, Mockford B, Molloy D, et al.The transverse acetabular ligament:an aid to orientation of the acetabular component during primary total hip replacement:a preliminary study of 1000 cases investigating postoperative stability.J Bone Joint Surg (Br), 2006, 88(7):883-886.
9. McCollum DE, Gray WJ.Dislocation after total hip arthroplasty.Causes and prevention.Clin Orthop Relat Res, 1990, (261):159-170.
10. Maruyama M, Feinberg JR, Capello WN, et al.The Frank Stinchfield Award:morphologic features of the acetabulum and femur:anteversion angle and implant positioning.Clin Orthop Relat Res, 2001, (393):52-65.
11. Sotereanos NG, Miller MC, Smith B, et al.Using intraoperative pelvic landmarks for acetabular component placement in total hip arthroplasty.J Arthroplasty, 2006, 21(6):832-840.
12. Walker TA, Mihalko WM.Avoiding and treating heterotopic ossification after total hip arthroplasty.Seminars in Arthroplasty, 2012, 23(3):128-134.
13. Nunley RM, Zhu J, Clohisy JC, et al.Aspirin decreases heterotopic ossification after hip resurfacing.Clin Orthop Relat Res, 2011, 469(6):1614-1620.
14. Spinarelli A, Patella V, Petrera M, et al.Heterotopic ossification after total hip arthroplasty:our experience.Musculoskelet Surg, 2011, 95(1):1-5.
15. Seegenschmiedt MH, Makoski HB, Micke O, et al.Radiation prophylaxis for heterotopic ossification about the hip joint-a multicenter study.Int J Radiat Oncol Biol Phys, 2011, 51(3):756-765.
16. 覃祖恩, 韦寿繁, 卢长巍, 等.双侧同期无柄髋关节置换治疗青壮年股骨头坏死11例报告.中国矫形外科杂志, 2013, 21(17):1796-1798.
17. 钱本文.无柄髋关节是少量应力遮挡的人工髋关节.中国矫形外科杂志, 2011, 19(4):325-329.
18. Takenaga RK, Callaghan JJ, Bedard NA, et al.Cementless total hip arthroplasty in patients fifty years of age or younger:a minimum ten-year follow-up.J Bone Joint Surg (Am), 2012, 94(23):2153-2159.

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SHORT-AND MEDIUM-TERM EFFECTIVENESSES OF STEMLESS HIP ARTHROPLASTY FOR TREATING HIP JOINT DISEASE IN YOUNG AND MIDDLE-AGED PATIENTS

Chinese Journal of Reparative and Reconstructive Surgery

TOTAL HIP ARTHROPLASTY FOR NON-FUNCTIONAL BONY ANKYLOSED HIP IN YOUNG AND MIDDLE-AGED PATIENTS

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