PP 128. Total Hip Arthroplasty Results of Coxarthrosis Secondary to DHD


O. Tatar, S. Bilgic, O. Ersen, B. Karslioglu, Y. Yurttas, C. Yildiz, M. Basbozkurt

17:12 - 17:18h at Lanchid Room

Categories: Orthopaedic Surgery and Traumatology, Poster Session

Session: Poster II (P4) - Varia


Background
Latency in diagnosis and inaccurate treatment of Developmental hip displasia (DHD) causes seconder osteoarthritis in young adults and elder patients. Variable reconstructive surgical procedures can be performed, but the most satisfactory functional results are achieved by total hiparthroplasty (THA).

Material and Methods
In this study, we analyzed the results of the cementless total hip arthroplasties performed in coxarthrosis secondary to developmental hip displasia. 53 patients , whom performed 59 total hip arthroplasties in our clinic were included in the study. 10 of the patients were male (), and 43 of them were female(%81). The mean age was 48,7. In 23 patients (%44), THA procedure was performed at the right hip and in 24 patients (%45) at the left hip.

Result
All patients were followed up 8-38 months (mean 20,6 months) with clinical and radiological evaluation. The hospitalization period varied between 7-14 days, mean 8,3 days. Posterolateral incision was used at all of the patients. Totally 10 () complications were observed. 5 (%8,5) of them was intraoperative and 5(%8,5) was postoperative. Patients evaluated preoperatively and
postoperatively with modified Harris Hip Score. While preoperative mean Harris score was 39,1, the postoperative mean score measured as 90,3. The results were excellent in 52 cases(%88,1), and very good in 7 cases(,9).

Conclusion
Appropriate implementation of cementless total hip prosthesis in patients with hip osteoarthritissecondary to DHD, who have good bone quality and surgical indicaton; clinical and radiological  short term results were satisfactory.