Erhan YILMAZ, Tarık ALTUNKILIÇ, Adem EMELİ, Şükrü DEMİR, Resit SEVİMLİ

Results of total hip artroplasty in our clinic

Aim: Patients undergone total hip replacement, performed in our clinic were retrospectively reviewed and discussed in the light of the available literature. The aim of this study was to determine our clinical results.Materials and Methods: The records of patients with total hip arthroplasty performed in our clinic between 2002 and 2008 were evaluated retrospectively. Laboratory values, Harris hip score and complications of these patients were examined.Results: The mean preoperative VAS of the 72 patients with a mean follow-up of 28.9 months was 81.6 preoperatively and the mean VAS was 35.7 in the last control. Harris hip score was 36.7 before the operation and 70.3 in the last control. According to Harris hip score of the patients in the preoperative period, 30 patients were evaluated as moderate and 42 patients as poor. In the postoperative period, 10 patients (13.8%) were excellent, 19 (26.3%) were very good, 30 (41.6%) were good, 6 (8.3%) were moderate, 7 (10%) were poorly rated according to Harris hip score. Biochemical laboratory values measured from venous blood taken at the time of arrival of patients, mean HsCRP 11.67±15.4 mg / l, insulin 14.87±29.53 IU / ml, glucose level 139.11±74.3 mg / dl, CK 426 9±12x8.9 mg / dl and CK-MB were determined as 41.1±46.8 mg / dl.Conclusion: As a result, we think that total hip arthroplasty is still an effective method in advanced hip arthrosis.

PDF

___

1. Brick WG, Poss R. Long-term follow up cemented total hip replacement for osteoarthritis. Rheum Dis Clin North Am 1988;14:565-77.
2. Thomson JD, Callaghan JJ, Savory CG, et al. Prior deposition of autologous blood in elective orthopaedic surgery. J Bone Joint Surg 1987;69:320.
3. Ege R. Kalça Anatomisi. Ege R .2. Baskı. Türk Hava Kurumu Matbaası, Ankara, 1996;31-40.
4. Ege R. Kalça Anatomisi. Ege R 2. Baskı. Türk Hava Kurumu Matbaası, Ankara, 1996;41-50.
5. Amstutz HC, Lodwig RM, Schurman DJ, et al. Range of motion studies for total hip replacements. Clin Orthop 1975;111:124-30.
6. Rorabeck CH, Bourne RB, Mulliken BD. The nicolas andry award. Clin Orthop 1996;325: 330-44.
7. Sebik A. Kalça işlevlerinin değerlendirilmesi. Ege R Türk Hava Kurumu Basımevi, Ankara,1994;169.
8. D’Lima DD, Oishi CS, Petersilge WJ, et al. 100 cemented versus 100 noncemented stems with comparison of 25 matched pairs. Clin Orthop 1997;348:140-8.
9. Nizard RS, Sedel L, Christel P, et al. Ten year survivorship of cemented ceramic-ceramic total hip prothesis. Clin Orthop 1992;282:53-63.
10. Rorabeck CH, Bourne RB, Laupacis A, et al. Double-blind study of 250 cases comparing cemented with cementless total hip arthroplasty. Clin Orthop 1994;298:156-64.
11. Torchia ME, Klassen RA, Bianco AJ. Total hip arthroplasty with cement in patients less than twenty years old. J Bone Joint Surg 1996;78:995-1003.
12. Mulroy WF, Harris WH. Acetabular and femoral fixation 15 years after cemented total hip surgery. Clin Orthop 1997;337:118-28.
13. Maric Z, Haynes RJ. Total hip arthroplasty in juvenile rheumatoid arthritis. Clin Orthop 1993;290:197-9.
14. Kawamura H1, Dunbar MJ, Murray P, et al. The Porous Coated Anatomic Total Hip Replacement. J Bone Joint Surg Am 2001;83:1333-8
15. Harris WH, Maloney WJ. Hybrid total hip arthroplasty. Clin Orthop 1989; 249:21-9.
16. Wroblewski BM, Lynch M, Atkinson JR, et al. External wear of the polyethylene socket in cemented total hip arthroplasty. J Bone Joint Surg 1987;69:61-3.
17. Steinberg B, Harris WH. The ‘‘offset’’ problem in total hip arthroplasty. Contemp Orthop 1992;24:556.
18. Stiehl JB, MacMillan E, Skrade DA. Mechanical stability of porous-coated acetabular components in total hip arthroplasty. J Arthroplasty 1991;6:295-300.
19. Schmalzried TP, Kwong LM, Jasty M, et al. The mechanism of loosening of cemented acetabular components in total hip arthroplasty. Clin Orthop 1992;274:60-78.
20. Rose RM, Nusbaum HJ, Schneider H, et al. On the true wear rate of ultra high-molecular-weight polyethylene in the total hip prosthesis. J Bone Joint Surg 1980;62:537-49.
21. Sevimli R, Aslanturk O, Ertem K, et al. An investigation of infection rate and seasonal effect level in total joint replacement cases. Med Sci 2018;7:210-3.