Bulk Femoral Head Autograft Without Decortication in Uncemented Total Hip Arthroplasty

2012 ◽  
Vol 27 (3) ◽  
pp. 437-444.e1 ◽  
Author(s):  
Sachiyuki Tsukada ◽  
Motohiro Wakui
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

scholarly journals Short term outcome of primary un-cemented total hip arthroplasty in osteonecrosis of femoral head

2021 ◽  
Vol 7 (3) ◽  
pp. 513
Author(s):  
Mohmad Nawaz Rather ◽  
Wajahat Ahmad Mir ◽  
Shahid Shabir Khan ◽  
Naseer Ahmad Mir ◽  
Nadeem Ali
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Short Term ◽  
Range Of Movement ◽  
Term Outcome ◽  
Osteonecrosis Of Femoral Head ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty ◽  
Advanced Stages

<p class="abstract"><strong>Background:</strong> Osteonecrosis of femoral head (ONFH) is characterised by cell death in the subchondral bone caused by abnormalities of blood flow to the femoral head. About 5% to 13% of arthroplasties are performed yearly for ONFH in United States. Ficat and Arlet classification is the commonest system used for grading of ONFH. Advanced stages 3 and 4 are best managed with total hip arthroplasty (THA). THA restores hip range of movement and allows early ambulation in ONFH.</p><p class="abstract"><strong>Methods:</strong> After seeking approval from local institutional ethical committee 25 patients with stage 3 and stage 4 ONFH (Ficat and Arlet) were admitted from OPD of SKIMS MC and Hospital Bemina, Srinagar. The study was conducted from February 2018 to February 2020 in department of Orthopaedics SKIMS MC and Hospital Bemina, Srinagar.  25 patients with mean age of 50.64 years comprising of 13 females and 12 males with unilateral osteonecrosis of femoral head with collapsed head underwent uncemented total hip arthroplasty and were followed up to a minimum of 1 year post-operatively.<strong></strong></p><p class="abstract"><strong>Results:</strong> Outcome was evaluated by comparing pre-operative and post-operative Harris hip scores. The average Harris hip scores improved from 65.87 in the pre-operative group to 96.54 at 1-year follow-up post-operatively. Marked improvement was noted in pain scores. No revisions were performed during the study. One patient developed superficial surgical site infection which healed with supervised dressings and oral antibiotics.</p><p class="abstract"><strong>Conclusions:</strong> Uncemented THA has excellent short-term outcomes in advanced stages of ONFH. It provides mobile hip joint and pain free ambulation shortly after surgery.</p>

UNCEMENTED TOTAL HIP ARTHROPLASTY IN YOUNG ADULTS WITH OSTEONECROSIS OF THE FEMORAL HEAD

2006 ◽  
Vol 88 ◽  
pp. 104-109 ◽  
Author(s):  
MICHAEL A. MONT ◽  
THORSTEN M. SEYLER ◽  
JOHANNES F. PLATE ◽  
RONALD E. DELANOIS ◽  
JAVAD PARVIZI
Keyword(s):  
Young Adults ◽  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

Bulk femoral-head autografting in uncemented total hip arthroplasty for acetabular dysplasia

2004 ◽  
Vol 19 (6) ◽  
pp. 706-713 ◽  
Author(s):  
Asode Ananthram Shetty ◽  
Pankaj Sharma ◽  
Samrendu Singh ◽  
Alistair Tindall ◽  
Senthil Velaudan Kumar ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Dysplasia ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

Evaluation of Uncemented Total Hip Arthroplasty in Patients With Avascular Necrosis of the Femoral Head

1993 ◽  
Vol &NA; (297) ◽  
pp. 168???173 ◽  
Author(s):  
ROBERT E. LINS ◽  
BRETT C. BARNES ◽  
JOHN J. CALLAGHAN ◽  
SCOTT D. MAIR ◽  
DONALD E. MCCOLLUM
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Avascular Necrosis ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

Ten years on: increased metal ion levels in a cohort of patients who underwent uncemented metal-on-polyethylene total hip arthroplasty

2020 ◽  
Vol 102-B (7) ◽  
pp. 832-837
Author(s):  
Caroline Dover ◽  
Jan Herman Kuiper ◽  
Peter Craig ◽  
Phillip Shaylor
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Metal Ion ◽  
Revision Arthroplasty ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty ◽  
Oxford Hip Score ◽  
Hip Arthroplasties ◽  
Over Time

Aims We have previously demonstrated raised cobalt and chromium levels in patients with larger diameter femoral heads, following metal-on-polyethylene uncemented total hip arthroplasty. Further data have been collected, to see whether these associations have altered with time and to determine the long-term implications for these patients and our practice. Methods Patients from our previous study who underwent Trident-Accolade primary total hip arthroplasties using a metal-on-polyethylene bearing in 2009 were reviewed. Patients were invited to have their cobalt and chromium levels retested, and were provided an Oxford Hip Score. Serum ion levels were then compared between groups (28 mm, 36 mm, and 40 mm heads) and over time. Results Metal ion levels were repeated in 33 patients. When comparing the results of serum metal ion levels over time, regardless of head size, there was a significant increase in both cobalt and chromium levels (p < 0.001). Two patients with larger head sizes had undergone revision arthroplasty with evidence of trunnion damage at surgery. Two patients within the 40 mm subgroup had metal ion levels above the MHRA (Medicines and Healthcare Products Regulatory Agency) threshold for detailed investigation. The increase in cobalt and chromium, when comparing the 36 mm and 40 mm groups with those of the 28 mm group, was not significant (36 mm vs 28 mm; p = 0.092/p = 0.191; 40 mm vs 28 mm; p = 0.200/p = 0.091, respectively). There was no difference, between femoral head sizes, when comparing outcome as measured by the Oxford Hip Score. Conclusion This study shows an increase in cobalt and chromium levels over time for all modular femoral head sizes in patients with metal-on-polyethylene bearings, with two patients demonstrating ion levels above the MHRA threshold for failure, and a further two patients requiring revision surgery. These results may have clinical implications regarding longer term follow-up of patients and future implant choice, particularly among younger patients. Cite this article: Bone Joint J 2020;102-B(7):832–837.

scholarly journals Neglected posterior acetabular wall fracture managed with uncemented total hip arthroplasty with posterior wall reconstruction by femoral head autograft: a case report

2018 ◽  
Vol 4 (3) ◽  
pp. 527
Author(s):  
Ram Avtar ◽  
Varun Khanna ◽  
Krishan Kumar
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Preoperative Evaluation ◽  
Posterior Wall ◽  
Harris Hip Score ◽  
Acetabular Fractures ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty ◽  
Post Traumatic

<p class="abstract">Total hip arthroplasty (THA) poses several challenges as a treatment option for acetabular fracture especially in the setting of a neglected fracture. The potential technical challenges of THA include the altered anatomy and hip centre, acetabular bone deficit, difficulty in achieving long-term fixation of the acetabular shell and risk of nerve injury. In our case, a forty two years old, male labrourer presented with a five months old injury, which was previously managed only conservatively. Preoperative evaluation revealed displaced posterior wall acetabulum with superiorly migrated femur head with flattened contour. We managed the case with uncemented THA. The acetabular defect was addressed using the femoral head autograft which was secured with screws. On three months follow up, radiographical evalution showed good graft consolidation without any acetabular component migration and functionally a Harris hip score of 76. Thus, in case of neglected acetabular fractures, with high probability of post traumatic arthritis to develop, THA remains the preferred choice of management. Albeit challenging to perform, THA provides effective way to decrease pain, improve stability and increase functional outcomes<strong>.</strong></p>

scholarly journals Spontaneous subcapital femoral neck fracture complicating osteonecrosis of femoral head

2021 ◽  
Vol 87 (1) ◽  
pp. 25-34
Author(s):  
Sumit Arora ◽  
Manoj Kumar ◽  
Yasim Khan ◽  
Nitish Bansal ◽  
Swati Gupta ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Femoral Neck ◽  
Hip Arthroplasty ◽  
Time Lag ◽  
Harris Hip Score ◽  
Rare Presentation ◽  
Osteonecrosis Of Femoral Head ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

Spontaneous subcapital fracture (SSF) of femoral neck in pre-existent osteonecrosis of femoral head (ONFH) is a rare presentation. Only a few cases have been reported so far and majority of them have been reported to have unilateral hip involvement. We retrospectively reviewed clinical-radiological data of 10 patients (12 hips) with SSF complicating ONFH. All of them underwent uncemented total hip arthroplasty. All the available publications in the English language based medical literature were critically reviewed and results were summarized. The median age of presentation was 32 years (range : 24 years to 61 years). They were followed up for a mean duration of 25 months (range : 12 months to 59 months). The most common risk factor was corticosteroid consumption (7 out of 10 patients). All except one (modified Ficat and Arlet stage II) belonged to advanced stage of ONFH {stage III 3 patients (3 hips), stage IV 6 patients (8 hips)}. The mean time lag of ONFH to presentation was 22.3 months (range : 5 months to 60 months), and SSF to presentation was 13.8 days (range : 1 day to 28 days). Mean pre- operative Harris Hip Score was 10.8 (range : 8 to 14), which improved to 93 (range : 91 to 96) after total hip arthroplasty when last followed up (p<0.05). Corticosteroids induced ONFH has a propensity to develop SSF. This entity should find a place in existing classification system.

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