TITLE:
Anatomical and Functional Preliminary Results of Total Non-Cemented Hip Prostheses
AUTHORS:
A. M. Abdoul Wahab, M. Koini, B. Dembele, A. D. Sane, A. N’Diaye, C. Dieme, N. F. Coulibaly
KEYWORDS:
Hip, Total Non-Cemented Prostheses
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.7 No.10,
October
24,
2017
ABSTRACT: The aim of
this work was to assess the preliminary anatomical and functional results of
patients to establish prospects. Materials and method: We report here
the preliminary results of a retrospective mono-centric, homogeneous and
continuous series, of 21 non-cemented total hip implants, implanted from January
2011 to December 2014. The mean follow-up time was 24 months. The patients were
evaluated by Harris’s hip at the last follow-up. Results: The mean age
of the intervention was 30 years. In our series, we
observed a male predominance (60% of cases). Clinically, the Harris score
varied significantly from 52.6 ± 11.4 pre-operatively to 85.1 ± 5.1 during the
last follow-up visit. Among the items in the score, pain was the parameter that
showed the greatest improvement. Thigh pain was observed in only one patient
operated on the two sides. At the level of radiology, the femoral implant showed
great stability. Bone resorption was suspected in 14 cases (66.66%), and
confirmed in 4 cases (19.04%) with excellent bone remodeling, illustrated by
the Engh and Massin scores. A loosening and a prosthetic dislocation was
observed in a patient (4.76%). Any heterotopic ossification was observed. Conclusion: Our study confirmed good clinical and radiological
results of the non-cemented hip prosthesis series in young patients. The rates
of aseptic loosening, acetabular edges or osteolysis are low and stable over
time.