Previous hip surgery due to developmental dysplasia of the hip affects major complication rates but not revision rates in total hip arthroplasty
Previous hip surgery due to developmental dysplasia of the hip affects major complication rates but not revision rates in total hip arthroplasty
AbstractAim: Total hip arthroplasty in patients with developmental dysplasia of the hip is challenging due to accompanying acetabular and femoral deformities, soft-tissue contractures and shortening of the affected limb. In addition, changed anatomy after pelvic and/ or femoral osteotomies can also make the total hip arthroplasty procedure challenging. This study aimed to evaluate the effect of previous hip surgery on clinical and radiological outcomes after total hip arthroplasty in previously operated patients due to developmental dysplasia of the hip.Material and Methods: A total of 55 developmental dysplasia of the hip patients, twenty-five patients (29 hips) with a previous hip surgery (Group 1) and 30 patients (31 hips) without previous hip surgery (Group 2) were included. The primary outcome measures were major complication and revision rates. The secondary outcome measure was the Harris Hip Score.Results: Major complications were found significantly higher in group I (p = 0.009). However, no significant difference was observed between groups regarding revision rates (p = 0.514). No significant difference was observed between groups in the preoperative and the last follow-up Harris Hip scores.Conclusion: Although similar revision rates, patients with a previous hip surgery due to developmental dysplasia of the hip who underwent total hip arthroplasty are more prone to major complications than patients without previous hip surgery patients. Level of Evidence IV. Case-Control Study.
___
- 1. Ganz R, Klaue K, Vinh TS, et al. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Clin Orthop Relat Res 1988;232:26-36.
- 2. Kosuge D, Yamada N, Azegami S, et al. Management of developmental dysplasia of the hip in young adults: current concepts. Bone Joint J 2013;95:732-7.
- 3. Greber EM, Pelt CE, Gililland JM, et al. Challenges in total hip arthroplasty in the setting of developmental dysplasia of the hip. J Arthroplasty 2017;32:38-44.
- 4. Colo E, Rijnen WH, Gardeniers JW, et al. Satisfying results of primary hip arthroplasty in patients with hip dysplasia at a mean followup of 20 years. Clin Orthop Relat Res 2016;474:2462-8.
- 5. M. F. Korkmaz, R. Sevimli. Total Hip Artroplasty. J Clinical and Analytical Med 2015.
- 6. Duncan S, Wingerter S, Keith A, et al. Does previous osteotomy compromise total hip arthroplasty? A systematic review. J Arthroplasty 2015;30:79-85.
- 7. Amanatullah DF, Stryker L, Schoenecker P, et al. Similar clinical outcomes for THAs with and without prior periacetabular osteotomy. Clin Orthop Relat Res 2015;473:685-91.
- 8. Migaud H, Putman S, Berton C, et al. Does prior conservative surgery affect survivorship and functional outcome in total hip arthroplasty for congenital dislocation of the hip? A case-control study in 159 hips. Orthop Traumatol Surg Res 2014;100:733-7.
- 9. Tokunaga K, Aslam N, Zdero R, et al. Effect of prior Salter or Chiari osteotomy on THA with developmental hip dysplasia. Clin Orthop Relat Res 2011;469:237-43.
- 10. Hashemi-Nejad A, Haddad FS, Tong KM, et al. Does Chiari osteotomy compromise subsequent total hip arthroplasty? J Arthroplasty 2002;17:731-9.
- 11. Minoda Y, Kadowaki T, Kim M. Total hip arthroplasty of dysplastic hip after previous Chiari pelvic osteotomy. Arch Orthop Trauma Surg 2006;126:394-400.
- 12. Ito H, Takatori Y, Moro T, et al. Total hip arthroplasty after rotational acetabular osteotomy. J Arthroplasty 2015;30:403-6.
- 13. Harris WH. 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. J Bone Joint Surg Am 1969;51:737-55.
- 14. Crowe JF, Mani VJ, Ranawat CS. Total hip replacement in congenital dislocation and dysplasia of the hip. J Bone Joint Surg Am 1979;61:15-23.
- 15. Engh C, Massin P, Suthers K. Roentgenographic assessment of the biologic fixation of poroussurfaced femoral components. Clin Orthop Relat Res 1990;257:107-28.
- 16. Malchau H, Kärrholm J, Wang YX, et al.Accuracy of migration analysis in hip arthroplasty. Digitized and conventional radiography, compared to radiosterometry in 51 patients. Acta Orthop Scand 1995;66:418-24.
- 17. Millis MB, Poss R, Murphy SB. Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect 1992;41:145-54.
- 18. Rohit Hasijaa , John JK , Neil VS , et al.Chand Jonathan Robinson, et al. Nerve injuries associated with total hip arthroplasty. J Clin Orthop Trauma 2018;9:81-6.
- 19. Eggli S, Hankemayer S, Müller ME. Nerve palsy after leg lengthening in total replacement arthroplasty for developmental dysplasia of the hip. J Bone Joint Surg Br 1999;81:843-5.
- 20. Nilsdotter A, Bremander A. Measures of hip function and symptoms: Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Oxford Hip Score (OHS), Lequesne Index of Severity for Osteoarthritis of the Hip (LISOH), and American Academy of Orthopedic Surgeons (AAOS) Hip and Knee Questionnaire.Arthritis Care Res (Hoboken) 2011;63:200-7.
- 21. DeLee JG, Charnley J. Radiological demarcation of cemented sockets in total hip replacement. Clin Orthop Relat Res 1976;121:20-32.