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Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders / Simon MACLEAN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
[article]
Titre : Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders Type de document : texte imprimé Auteurs : Simon MACLEAN, Auteur ; Scott EVANS, Auteur ; Paul PYNSENT, Auteur Année de publication : 2015 Article en page(s) : p.264-273 Langues : Anglais (eng) Mots-clés : Hip resurfacing hip dysplasia young adult hip survivorship Perthes’ disease Developmental dysplasia of the hip Résumé : The aim of our study was to assess survivorship and function in young patients with hip resurfacing for degenerative arthritis secondary to childhood hip diseases. Data was collected retrospectively using the institutional database and patient notes. Between 1999 and 2012, there were 156 hip resurfacings performed in 143 patients (82 females, 73 males). Mean age at the time of surgery was 21.4 years (12.3 to 30.0). The main indications for surgery included; DDH, AVN, Perthes’ and SUFE. Median follow-up was 4.1 years (1.0 to13.2). Median Oxford scores improved from 54.2 pre-op to 18.8 post-op at a minimum of 2 years follow-up. There were 14 failures. Median head size was 46 mm (45 mm in the failures) For the failures, median cup inclination was 44.4 degrees and anteversion 7.6 degrees. We report the largest single surgeon series of resurfacing hip arthroplasty in the under 30’s for childhood hip disorders. 90% 5-year survivorship and good functional outcome can be achieved. Permalink : ./index.php?lvl=notice_display&id=40655
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.264-273[article] Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders [texte imprimé] / Simon MACLEAN, Auteur ; Scott EVANS, Auteur ; Paul PYNSENT, Auteur . - 2015 . - p.264-273.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.264-273
Mots-clés : Hip resurfacing hip dysplasia young adult hip survivorship Perthes’ disease Developmental dysplasia of the hip Résumé : The aim of our study was to assess survivorship and function in young patients with hip resurfacing for degenerative arthritis secondary to childhood hip diseases. Data was collected retrospectively using the institutional database and patient notes. Between 1999 and 2012, there were 156 hip resurfacings performed in 143 patients (82 females, 73 males). Mean age at the time of surgery was 21.4 years (12.3 to 30.0). The main indications for surgery included; DDH, AVN, Perthes’ and SUFE. Median follow-up was 4.1 years (1.0 to13.2). Median Oxford scores improved from 54.2 pre-op to 18.8 post-op at a minimum of 2 years follow-up. There were 14 failures. Median head size was 46 mm (45 mm in the failures) For the failures, median cup inclination was 44.4 degrees and anteversion 7.6 degrees. We report the largest single surgeon series of resurfacing hip arthroplasty in the under 30’s for childhood hip disorders. 90% 5-year survivorship and good functional outcome can be achieved. Permalink : ./index.php?lvl=notice_display&id=40655 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtResults of Conserve Plus Hip Resurfacing?: prospective clinical, radiographic and ion study / Jan F. A. SOMERS in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Results of Conserve Plus Hip Resurfacing?: prospective clinical, radiographic and ion study Type de document : texte imprimé Auteurs : Jan F. A. SOMERS, Auteur ; Jens VANBIERVLIET, Auteur ; Filip LEFEVERE, Auteur Année de publication : 2015 Article en page(s) : p.413-419 Langues : Anglais (eng) Mots-clés : hip resurfacing ion levels clinical and radiographic results conserve plus Résumé : We report the 3- to 5-year clinical, radiographic and serum ion level results of a prospective consecutive cohort of 42 hip resurfacing arthroplasties using the Conserve Plus implant in 39 male patients that were operated on by a single surgeon in a community hospital. Average age was 53 years (range 34-67) at surgery. There was one revision for a subcapital neck fracture. There were no surgery related complications.
The survival of the implant was 95%. Clinical evaluation showed excellent results with a modified Charnley score of 17.6/18, Harris Hip Score of 96.2/100, WOMAC of 95.1/100, Oxford Score 15.3, and UCLA-Activity Score of 8/10. Radiographic analysis showed no implant at risk, no migration or signs of loosening, no neck narrowing and no osteolysis at final follow-up. Average cup inclination angle was 43.5° with 2 outliers (34° and 57°). Ion level study
showed average cobalt in serum 1.04 µg/l (range 0-4) for the whole group, 0.7 µg/l (range 0-3) in patients with unilateral resurfacing and 2.0 µg/l (range 0-4) in patients with bilateral resurfacing. All patients had ion levels within the safe zone. This independent series of Conserve Plus HRA confirms good results at shortto mid-term with excellent wear characteristics.
Results for avascular necrosis were equal to those for osteoarthritis.Permalink : ./index.php?lvl=notice_display&id=40910
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.413-419[article] Results of Conserve Plus Hip Resurfacing?: prospective clinical, radiographic and ion study [texte imprimé] / Jan F. A. SOMERS, Auteur ; Jens VANBIERVLIET, Auteur ; Filip LEFEVERE, Auteur . - 2015 . - p.413-419.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.413-419
Mots-clés : hip resurfacing ion levels clinical and radiographic results conserve plus Résumé : We report the 3- to 5-year clinical, radiographic and serum ion level results of a prospective consecutive cohort of 42 hip resurfacing arthroplasties using the Conserve Plus implant in 39 male patients that were operated on by a single surgeon in a community hospital. Average age was 53 years (range 34-67) at surgery. There was one revision for a subcapital neck fracture. There were no surgery related complications.
The survival of the implant was 95%. Clinical evaluation showed excellent results with a modified Charnley score of 17.6/18, Harris Hip Score of 96.2/100, WOMAC of 95.1/100, Oxford Score 15.3, and UCLA-Activity Score of 8/10. Radiographic analysis showed no implant at risk, no migration or signs of loosening, no neck narrowing and no osteolysis at final follow-up. Average cup inclination angle was 43.5° with 2 outliers (34° and 57°). Ion level study
showed average cobalt in serum 1.04 µg/l (range 0-4) for the whole group, 0.7 µg/l (range 0-3) in patients with unilateral resurfacing and 2.0 µg/l (range 0-4) in patients with bilateral resurfacing. All patients had ion levels within the safe zone. This independent series of Conserve Plus HRA confirms good results at shortto mid-term with excellent wear characteristics.
Results for avascular necrosis were equal to those for osteoarthritis.Permalink : ./index.php?lvl=notice_display&id=40910 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt