Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up

Cesare Faldini, Matteo Nanni, Danilo Leonetti, Maria Teresa Miscione, Francesco Acri, Sandro Giannini

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Acetabular and femoral abnormalities make total hip arthroplasty in developmental hip dysplasia a challenging procedure. We present details of long-term follow-up of a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using a cementless tapered stem. Thirty-five hips in 20 patients (18 women and 2 men) aged between 44 and 60 years (mean 51 years) were observed. Clinical evaluation was conducted using the Harris Hip Score (HHS). Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe's classification, 25 hips had grade 2 and 10 hips grade 3 dysplasia. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis™). After surgery the patients were clinically and radiographically evaluated at 1, 2, 3, 6 and 12 months and annually thereafter. The average follow-up was 12 years (range 10-14 years). The average HHS was 57±7 (range 45-66) preoperatively, 90±7 (range 81-100) 12 months after surgery and 90±6 (range 83-100) at last follow-up. Radiographic evaluation demonstrated excellent osseointegration of the implants in most cases. Signs of bone resorption were present in 5 hips, but no evidence of loosening was observed and none of the implants have been revised. The tapered stem achieved adequate stability and orientation, and may be a suitable option for total hip arthroplasty for arthritis following developmental hip dysplasia.

Original languageEnglish
Pages (from-to)415-420
Number of pages6
JournalHIP International
Volume21
Issue number4
DOIs
Publication statusPublished - Jul 2011

Fingerprint

Hip Dislocation
Arthroplasty
Hip
Osseointegration
Bone Resorption
Thigh
Prostheses and Implants
Arthritis

Keywords

  • Cementless tapered stem
  • Developmental hip dysplasia
  • Long-term follow-up
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up. / Faldini, Cesare; Nanni, Matteo; Leonetti, Danilo; Miscione, Maria Teresa; Acri, Francesco; Giannini, Sandro.

In: HIP International, Vol. 21, No. 4, 07.2011, p. 415-420.

Research output: Contribution to journalArticle

Faldini, Cesare ; Nanni, Matteo ; Leonetti, Danilo ; Miscione, Maria Teresa ; Acri, Francesco ; Giannini, Sandro. / Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up. In: HIP International. 2011 ; Vol. 21, No. 4. pp. 415-420.
@article{320c9e99bd5b4501b450feee0b62a0b9,
title = "Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up",
abstract = "Acetabular and femoral abnormalities make total hip arthroplasty in developmental hip dysplasia a challenging procedure. We present details of long-term follow-up of a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using a cementless tapered stem. Thirty-five hips in 20 patients (18 women and 2 men) aged between 44 and 60 years (mean 51 years) were observed. Clinical evaluation was conducted using the Harris Hip Score (HHS). Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe's classification, 25 hips had grade 2 and 10 hips grade 3 dysplasia. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis™). After surgery the patients were clinically and radiographically evaluated at 1, 2, 3, 6 and 12 months and annually thereafter. The average follow-up was 12 years (range 10-14 years). The average HHS was 57±7 (range 45-66) preoperatively, 90±7 (range 81-100) 12 months after surgery and 90±6 (range 83-100) at last follow-up. Radiographic evaluation demonstrated excellent osseointegration of the implants in most cases. Signs of bone resorption were present in 5 hips, but no evidence of loosening was observed and none of the implants have been revised. The tapered stem achieved adequate stability and orientation, and may be a suitable option for total hip arthroplasty for arthritis following developmental hip dysplasia.",
keywords = "Cementless tapered stem, Developmental hip dysplasia, Long-term follow-up, Total hip arthroplasty",
author = "Cesare Faldini and Matteo Nanni and Danilo Leonetti and Miscione, {Maria Teresa} and Francesco Acri and Sandro Giannini",
year = "2011",
month = "7",
doi = "10.5301/HIP.2011.8588",
language = "English",
volume = "21",
pages = "415--420",
journal = "HIP International",
issn = "1120-7000",
publisher = "Wichtig Publishing",
number = "4",

}

TY - JOUR

T1 - Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up

AU - Faldini, Cesare

AU - Nanni, Matteo

AU - Leonetti, Danilo

AU - Miscione, Maria Teresa

AU - Acri, Francesco

AU - Giannini, Sandro

PY - 2011/7

Y1 - 2011/7

N2 - Acetabular and femoral abnormalities make total hip arthroplasty in developmental hip dysplasia a challenging procedure. We present details of long-term follow-up of a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using a cementless tapered stem. Thirty-five hips in 20 patients (18 women and 2 men) aged between 44 and 60 years (mean 51 years) were observed. Clinical evaluation was conducted using the Harris Hip Score (HHS). Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe's classification, 25 hips had grade 2 and 10 hips grade 3 dysplasia. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis™). After surgery the patients were clinically and radiographically evaluated at 1, 2, 3, 6 and 12 months and annually thereafter. The average follow-up was 12 years (range 10-14 years). The average HHS was 57±7 (range 45-66) preoperatively, 90±7 (range 81-100) 12 months after surgery and 90±6 (range 83-100) at last follow-up. Radiographic evaluation demonstrated excellent osseointegration of the implants in most cases. Signs of bone resorption were present in 5 hips, but no evidence of loosening was observed and none of the implants have been revised. The tapered stem achieved adequate stability and orientation, and may be a suitable option for total hip arthroplasty for arthritis following developmental hip dysplasia.

AB - Acetabular and femoral abnormalities make total hip arthroplasty in developmental hip dysplasia a challenging procedure. We present details of long-term follow-up of a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using a cementless tapered stem. Thirty-five hips in 20 patients (18 women and 2 men) aged between 44 and 60 years (mean 51 years) were observed. Clinical evaluation was conducted using the Harris Hip Score (HHS). Radiographic evaluation consisted in standard anteroposterior and axial view radiographs of the hip. According to Crowe's classification, 25 hips had grade 2 and 10 hips grade 3 dysplasia. All patients were treated with total hip arthroplasty using a cementless tapered stem (Wagner Cone Prosthesis™). After surgery the patients were clinically and radiographically evaluated at 1, 2, 3, 6 and 12 months and annually thereafter. The average follow-up was 12 years (range 10-14 years). The average HHS was 57±7 (range 45-66) preoperatively, 90±7 (range 81-100) 12 months after surgery and 90±6 (range 83-100) at last follow-up. Radiographic evaluation demonstrated excellent osseointegration of the implants in most cases. Signs of bone resorption were present in 5 hips, but no evidence of loosening was observed and none of the implants have been revised. The tapered stem achieved adequate stability and orientation, and may be a suitable option for total hip arthroplasty for arthritis following developmental hip dysplasia.

KW - Cementless tapered stem

KW - Developmental hip dysplasia

KW - Long-term follow-up

KW - Total hip arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=79961003340&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79961003340&partnerID=8YFLogxK

U2 - 10.5301/HIP.2011.8588

DO - 10.5301/HIP.2011.8588

M3 - Article

VL - 21

SP - 415

EP - 420

JO - HIP International

JF - HIP International

SN - 1120-7000

IS - 4

ER -