KMID : 0311120110520040655
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Yonsei Medical Journal 2011 Volume.52 No. 4 p.655 ~ p.660
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Total Hip Arthroplasty Using S-ROM Prosthesis for Dysplastic Hip
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Kang Joon-Soon
Moon Kyoung-Ho Kim Ryuh-Sup Park Seung-Rim Lee Jung-Sun Shin Sang-Hyun
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Abstract
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Purpose: The purpose of this study was to evaluate the clinical and radiological results of total hip arthroplasty using a proximal modular femoral stem in patients who had secondary coxarthrosis associated with a dysplastic hip.
Materials and Methods: Forty-two patients (45 hips) with secondary coxarthrosis were evaluated after undergoing primary total hip arthroplasty using an S-ROM proximal modular femoral stem. The average follow-up was 80 months (range: 60 to 96 months). Clinical and radiological assessments were performed based on the Harris hip score and the radiological changes around the prosthesis.
Results: The average Harris hip score improved from 52.2 points to 88.5 points. All femoral stems showed stable fixation; there were 37 cases by bony ingrowth and 8 cases by stable fibrous ingrowth. Neither osteolysis nor progressive radiolucent lines around the femoral stem were found at the last follow-up. Forty-one hips (91.9%) revealed excellent or good clinical results at the most recent follow-up.
Conclusion: For advanced secondary coxarthrosis, total hip arthroplasty with the use of the proximal modular femoral stem yielded good mid-term results with respect to the clinical and radiological criteria.
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KEYWORD
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Dysplastic hip, secondary coxarthrosis, total hip arthoplasty, S-ROM prosthesis
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