Hip alloplasty by dual mobility endoprosthesis in non-standard situations
Abstract
The article presents the results of arthroplasty of 29 patients with III stage coxarthrosis. The peculiarities of the surgical interventions were that in the postoperative period due to concomitant orthopedic pathology (ankylosis of the opposite hip, two-way coxarthrosis with flexion-leading contractions with shortening greater than 4 cm; dysplasia of the upper extremities), patients are forced to use the operated limb. as basic. The reason is the inability to implement the recommendations for sitting at a right angle, loading an operated limb by weight, to use crutches and to exercise the muscles surrounding the hip joint. When classical endoprosthesis with heads having D = 28, 32, 36 mm is employed, because of the instability in the postoperative period the high risk of dislocation is saved. At the same time, the use of a Medacta Versafitcup Double Mobility prosthesis allows achieving the stability of the operated joint and ensuring its long life.
About the Authors
A. N. Voloshenyuk
Belarusian Medical Academy of Postgraduate Education
Belarus
Belarus
N. S. Serdyuchenko
National Academy of Sciences of Belarus
Belarus
Belarus
M. V. Komarovsky
City Clinical Emergency Hospital
Belarus
Belarus
P. V. Vorobei
City Clinical Emergency Hospital
Belarus
Belarus
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Review
For citations:
Voloshenyuk A.N., Serdyuchenko N.S., Komarovsky M.V., Vorobei P.V. Hip alloplasty by dual mobility endoprosthesis in non-standard situations. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2016;(1):110-116. (In Russ.)
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