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Hip osteotomy arthroplasty: ten-year follow-up
T A DeCoster1, S J Incavo, D Swenson
1Department of Orthopaedics, University of New Mexico, Albuquerque 87131-5296, USA.
The Iowa Orthopaedic Journal
|June 10, 2000
Summary
Combined hip osteotomy and arthroplasty for femoral deformity shows long-term success. This hip arthritis treatment remains effective with modern ingrowth components, offering good outcomes at ten years.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Combined osteotomy and hip arthroplasty for hip arthritis with femoral deformity was previously reported as initially successful.
- This surgical technique has gained acceptance in orthopedic practice.
Purpose of the Study:
- To report the ten-year clinical, radiographic, and histological outcomes of combined osteotomy and hip arthroplasty for hip arthritis with femoral deformity.
- To evaluate the long-term efficacy and viability of the proximal femur following this combined procedure.
Main Methods:
- Prospective reporting of clinical and radiographic results over ten years.
- Histological analysis of two proximal femur specimens.
- Assessment of osteotomy healing and proximal femoral segment viability.
Main Results:
- Osteotomies healed, and proximal femoral segments remained viable in all patients at ten years.
- One patient was symptom-free without further surgery.
- Two patients required revision surgery due to acetabular or prosthesis loosening, but proximal femoral viability was confirmed histologically.
Conclusions:
- The combined technique of osteotomy and arthroplasty for hip arthritis with femoral deformity is effective.
- Long-term success is enhanced when combined with current ingrowth femoral component techniques in total hip arthroplasty.