Abstract
The authors review the alternative surgical solutions available in the treatment of unreduced congenital dislocation of the hip in adults with disabling secondary arthrosis. They describe their technique for applying a prosthesis based on using the false joint in the pathological position. The analysis of 34 results with an average follow-up of 5 years dispelled the legitimate doubts about the validity of this approach; 29 cases showed marked improvement, loosening of the femoral prosthesis occurred in only one case and there were very few radiological signs indicating a risk of loosening. The authors conclude by defining the indications for this operation, namely, elderly patients with fixed and therefore irreversible changes in the neighbouring joints, and elderly patients in whom any sacrifice of the peri-articular muscles would be likely to cause excessive instability of the prosthesis.
| Original language | English |
|---|---|
| Pages (from-to) | 283-293 |
| Number of pages | 11 |
| Journal | Italian Journal of Orthopaedics and Traumatology |
| Volume | 10 |
| Issue number | 3 |
| Publication status | Published - 1984 |
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ASJC Scopus subject areas
- Surgery
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Arthroprosthesis in old unreduced congenital dislocation of the hip, using the 'false' acetabulum. A study of 34 cases. / Giunti, A.; Vicenzi, G.; Toni, A.
In: Italian Journal of Orthopaedics and Traumatology, Vol. 10, No. 3, 1984, p. 283-293.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Arthroprosthesis in old unreduced congenital dislocation of the hip, using the 'false' acetabulum. A study of 34 cases
AU - Giunti, A.
AU - Vicenzi, G.
AU - Toni, A.
PY - 1984
Y1 - 1984
N2 - The authors review the alternative surgical solutions available in the treatment of unreduced congenital dislocation of the hip in adults with disabling secondary arthrosis. They describe their technique for applying a prosthesis based on using the false joint in the pathological position. The analysis of 34 results with an average follow-up of 5 years dispelled the legitimate doubts about the validity of this approach; 29 cases showed marked improvement, loosening of the femoral prosthesis occurred in only one case and there were very few radiological signs indicating a risk of loosening. The authors conclude by defining the indications for this operation, namely, elderly patients with fixed and therefore irreversible changes in the neighbouring joints, and elderly patients in whom any sacrifice of the peri-articular muscles would be likely to cause excessive instability of the prosthesis.
AB - The authors review the alternative surgical solutions available in the treatment of unreduced congenital dislocation of the hip in adults with disabling secondary arthrosis. They describe their technique for applying a prosthesis based on using the false joint in the pathological position. The analysis of 34 results with an average follow-up of 5 years dispelled the legitimate doubts about the validity of this approach; 29 cases showed marked improvement, loosening of the femoral prosthesis occurred in only one case and there were very few radiological signs indicating a risk of loosening. The authors conclude by defining the indications for this operation, namely, elderly patients with fixed and therefore irreversible changes in the neighbouring joints, and elderly patients in whom any sacrifice of the peri-articular muscles would be likely to cause excessive instability of the prosthesis.
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UR - http://www.scopus.com/inward/citedby.url?scp=0021493116&partnerID=8YFLogxK
M3 - Article
VL - 10
SP - 283
EP - 293
JO - Italian Journal of Orthopaedics and Traumatology
JF - Italian Journal of Orthopaedics and Traumatology
SN - 0390-5489
IS - 3
ER -