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Journal Abstract
Tactics of operative procedures and results of treatment patients with coxarthrosis in congenital high luxation of hip joints.
Roman Król, Marek Rojewski, Adam Kamiński, Tomasz Popławski
Ortop Traumatol Rehabil 2007; 9(6):588-596
ICID: 729447
Article type: Original article
IC™ Value: 7.12
Abstract provided by Publisher
Material and method. The results of 4 years observation, of the treatment of 14 woman in the average age of 38 years old with 18 hip joints with congenital high luxation are presented.In all cases cementless total hip arthroplasty was made. Acetabular component of the prosthesis was implanted correctly and stable in its physiological placement. Femur was shortened average 4 cm and stabilized by cementless press-fit stem of prosthesis. The place of femur osteotomy was covered with autogenic spongy bone from resected caput of femur. Results. The union was achived after average 10 weeks. In clinical assessment there were obtained 10 very good, 5 good and 3 satisfactory clinical results. There were no superficial or deep infections, no neurological disorders and no loosening of components of implanted prostheses observed.
Conclusions. Careful planning and carrying out the operative procedures allow to insert the acetabular component of the prosthesis in its physiological place and achive good results.Shortening of femur and repositioning of components of prosthesis in 90° knee flexion and also position on broken bed after operative procedure allowed to avoid neurological disorders.
Cemntless and covered by hydroxyapatyte femoral component of the prosthesis correctly stabilize place of femur osteotomy.

ICID 729447
PMID 18227752 - click here to show this article in PubMed

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