Total hip replacement in femoral head osteonecrosis
https://doi.org/10.29235/1814-6023-2020-17-2-203-210
Abstract
The experience of hip replacement in young patients with osteonecrosis of the femoral head was analyzed in the article. The results of operations in the osteonecrosis group and osteoarthritis group in 3 years and 7 months after operations were compared. In 97.5 % of cases, cementless fixation implants with a ceramic on ceramic friction pair (45 %) and ceramic on polyethylene friction pair (45 %) were used. Surgical approaches by Moore, Hardinge and AMIS technique were applied. The clinical results of operations in the studied groups were similar, but the survival rate of endoprostheses in the osteonecrosis group was 91.5 %, and in the osteoarthritis group 97.2 %. In the osteonecrosis group an increased frequency of complications (dislocation of the endoprosthesis head, periprosthetic fracture, periprosthetic infection) and revision operations were observed. Our results show the influence of risk factors, concomitant diseases, the level of activity of young patients on the long-term total hip arthroplasty result.
About the Authors
A. E. Murzich
Republican Scientific-Practical Center of Traumatology and Orthopedics
Belarus
Belarus
Alyaksandr E. Murzich – Ph. D. (Med.), Head of the Laboratory
60/4, Kizhevatov Str., 220024, Minsk
N. S. Serdiuchenko
Presidium of the National Academy of Sciences of Belarus
Belarus
Belarus
Nikolai S. Serdiuchenko – Corresponding Member, D. Sc. (Med.), Professor, Academician-Secretary of the Department of Medical Sciences of the National Academy of Sciences of Belarus
66, Nezavisimosti Ave., 220072
V. A. Rabtsevich
Belarus State Economic University
Belarus
Belarus
Victor A. Rabtsevich – Ph. D. (Phys. and Math.), Assistant Professor
26, Partizanski Ave., 220070
References
1. Issa K., Pivec R., Kapadia B. H., Banerjee S., Mon M. A. Osteonecrosis of the femoral head: the total hip replacement solution. Bone and Joint Journal, 2013, vol. 95-B, no. 11, suppl. A, pp. 46–50. https://doi.org/10.1302/0301-620x.95b11.32644
2. Sloan M., Premkumar A., Sheth N. P. Projected volume of primary total joint arthroplasty in the U. S., 2014 to 2030. Journal of Bone and Joint Surgery, 2018, vol. 100, pp. 1455–1460. https://doi.org/10.2106/jbjs.17.01617
3. Lavernia C. J., Sierra R. J., Grieco F. R. Osteonecrosis of the femoral head. Journal of the American Academy of Orthopaedic Surgeons, 1999, vol. 7, no. 4, pp. 250–261. https://doi.org/10.5435/00124635-199907000-00005
4. Hungerford D. S., Jones L. C. Asymptomatic osteonecrosis: should it be treated? Clinical Orthopaedics and Related Research, 2004, no. 429, pp. 124–130. https://doi.org/10.1097/01.blo.0000150275.98701.4e
5. Kim S. Y., Rubash H. E. Avascular necrosis of the femoral head: the Korean experience. The Adult Hip. 2nd ed. Philadelphia, 2006, vol. 2, pp. 1078–1086.
6. Calder J. D., Pearse M. F., Revell P. A. The extent of osteocyte death in the proximal femur of patients with osteonecrosis of the femoral head. Journal of Bone and Joint Surgery. British volume, 2001, vol. 83-B, no. 3, pp. 419–422. https://doi.org/10.1302/0301-620x.83b3.0830419
7. Mont M. A., Einhorn T. A., Sponseller P. D., Hungerford D. S. The trapdoor procedure using autogenous cortical and cancellous bone grafts for osteonecrosis of the femoral head. Journal of Bone and Joint Surgery. British volume, 1998, vol. 80-B, no. 1, pp. 56–62. https://doi.org/10.1302/0301-620x.80b1.0800056
8. Fyda T. M., Callaghan J. J., Olejniczak J., Johnston R. C. Minimum ten-year follow-up of cemented total hip replacement in patients with osteonecrosis of the femoral head. Iowa Orthopedic Journal, 2002, vol. 22, pp. 8–19.
9. Healy W. L., Iorio R., Clair A. J., Pellegrini V. D., Valle C. J. D., Berend K. R. Complications of total hip arthroplasty: standardized list, definitions, and stratification developed by the hip society. Clinical Orthopaedics and Related Research, 2016, vol. 474, no. 2, pp. 357–364. https://doi.org/10.1007/s11999-015-4341-7
10. Mont M. A. Uncemented total hip arthroplasty in young adults with osteonecrosis of the femoral head: a comparative study. Journal of Bone and Joint Surgery (American), 2006, vol. 88, suppl. 3, pp. 104–109. https://doi.org/10.2106/jbjs.f.00451
11. Kim Y. H., Choi Y., Kim J. S. Cementless total hip arthroplasty with alumina-on-highly cross-linked polyethylene bearing in young patients with femoral head osteonecrosis. Journal of Arthroplasty, 2011, vol. 26, no. 2, pp. 218–223. https://doi.org/10.1016/j.arth.2010.03.010
12. Min B.-W., Lee K.-J., Song K.-S., Bae K.-C., Cho C.-H. Highly cross-linked polyethylene in total hip arthroplasty for osteonecrosis of the femoral head: a minimum 5-year follow-up study. Journal of Arthroplasty, 2013, vol. 28, no. 3, pp. 526–530.
13. Bergh C., Fenstad A. M., Furnes O., Garellick G., Havelin L. I., Overgaard S. [et al.]. Increased risk of revision in patients with non-traumatic femoral head necrosis. Acta Orthopaedica, 2014, vol. 85, no. 1, pp. 11–17. https://doi.org/10.3109/17453674.2013.874927
14. Harris W. H. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. Journal of Bone and Joint Surgery, 1969, vol. 51, no. 4, pp. 737– 755. https://doi.org/10.2106/00004623-196951040-00012
15. ARCO (Association Research Circulation Osseous): committee on terminology and classification. ARCO News, 1992, no. 4, pp. 41–46.
16. Filippenko V. A., Klimovitskii R. V., Tyazhelov A. A., Karpinskii M. Yu., Karpinskaya Ye. D., Goncharova L. D. Selection of endoprosthetic components and value of general femoral offset after hip replacement (X-ray study). Tramva [Injury], 2018, vol. 19, no. 1, pp. 17–23 (in Russian).
17. Masquelet A. C., McCullough C. J., Tubiana R., Fyfe I. S., Klenerman L., Letournel E. An atlas of surgical exposures of the lower extremity. London, Lippincott Williams & Wilkins, 1993. 424 p.
18. Muller D. A., Zingg P. O., Dora C. Anterior minimally invasive approach for total hip replacement: five-year survivorship and learning curve. HIP International, 2014, vol. 24, no. 3, pp. 277–283. https://doi.org/10.5301/hipint.5000108
19. Siguier T., Siguier M., Brumpt B. Mini-incision anterior approach does not increase dislocation rate: a study of 1037 total hip replacements. Clinical Orthopaedics and Related Research, 2004, vol. 426, pp. 164–173. https://doi.org/10.1097/01.blo.0000136651.21191.9f
20. Langlois J., Delambre J., Klouche S., Faivre B., Hardy Ph. Direct anterior Hueter approach is a safe and effective approach to perform a bipolar hemiarthroplasty for femoral neck fracture outcome in 82 patients. Acta Orthopaedica, 2015, vol. 86, no. 3, pp. 358–362. https://doi.org/10.3109/17453674.2014.1002987
21. Gruen T. A., McNeice G. M., Amstutz H. C. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clinical Orthopaedics and Related Research, 1979, no. 141, pp. 17–27. https://doi.org/10.1097/00003086-197906000-00002
22. DeLee J. G., Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clinical Orthopaedics and Related Research, 1976, no. 121, pp. 20–32. https://doi.org/10.1097/00003086-197611000-00003
23. Brooker A. F., Bowerman J. W., Robinson R. A., Riley L. H. Ectopic ossification following total hip replacement: incidence and a method of classification. Journal of Bone and Joint Surgery, 1973, vol. 55, no. 8, pp. 1629–1632. https://doi.org/10.2106/00004623-197355080-0000
Review
For citations:
Murzich A.E., Serdiuchenko N.S., Rabtsevich V.A. Total hip replacement in femoral head osteonecrosis. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2020;17(2):203-210. https://doi.org/10.29235/1814-6023-2020-17-2-203-210
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