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Resection arthroplasty: middle- and long-term results.
1Chirurgische Universitätsklinik, Universität Erlangen-Nürnberg, Federal Republic of Germany.
Archives of Orthopaedic and Trauma Surgery
|January 1, 1989
Summary
Resection arthroplasty effectively manages hip pain and infection in over 90% of patients, though functional weight-bearing capacity may be limited. This surgical option can conclude multiple prior operations.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Resection arthroplasty is a salvage procedure for complex hip joint failures.
- Indications include septic or aseptic loosening with significant bone destruction.
Purpose of the Study:
- To evaluate the long-term outcomes of resection arthroplasty.
- To assess pain relief, infection control, and functional capacity post-surgery.
Main Methods:
- Retrospective analysis of 64 patient records.
- Follow-up duration ranged from 2.1 to 15.9 years.
- Patient-reported outcomes collected via questionnaires.
Main Results:
- Average patient age was 69.7 years.
- Over 90% achieved infection- and pain-free status.
- Six patients experienced recurrent infection; six had constant pain.
- All patients utilized walking aids; functional weight-bearing capacity was limited.
Conclusions:
- Resection arthroplasty is a successful treatment for intractable hip conditions.
- It effectively alleviates pain and infection, often concluding numerous prior surgical interventions.
- While functional limitations exist, the procedure offers significant patient benefit.