Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 24935
TOTAL HIP ARTROPLASTY IN PATIENTS AFTER OSTEOTOMY OF PROXIMAL
FEMUR.
Nikolay ZAGORODNY, Viktor NUZHDIN, Oleg KUDINOV, Sergey KAGRAMANOV,
Dorzho AYUSHEEV, Yuriy KHORANOV, Pavel EROKHIN, Gamlet CHRAGYAN,
Vasili BACHIASHVILI, Fedor KUZMIN
CITO, Moscow (RUSSIA)
Since 1995 to 2008 the comparison of a clinicoradiologic pattern and a static
handling of total hip arthroplasty (THA) results were made. There were examined 92
patients (104 hip joints) who had in the past history an osteotomy of a proximal part
of a femoral bone and 83 patients from the control group (87 hip joints) who did not
have any surgical treatments before. In all cases the femoral component of the
patients with osteotomy was placed usually in compelled valgus position without
making a reosteotomy for the correction of the bone shape. The femoral component
of the patients from the control group was implanted in neutral position. The middle
age of the patients was 47,4 years (from 18 till 73 years) .The medium term of the
observation was 7,3 years(from 0,5 till 13 years). The medium term from the moment
of making an osteotomy of the proximal part of the femoral bone to THA was 14,5
years (from 1 till 36 years). The radiologic analysis did not reveal significant statistical
difference betwin two groups. The clinical results according to the method of Harris
among the patients with osteotomy: 20,9% of excellent results, 53,7% of good
results, 19,4% of satisfactory and 6% of unsatisfactory results. In the control group:
19,6% of excellent results, 55,3% of good results, 20,1% of satisfactory results and
5% of unsatisfactory results. Thereby, the clinicoradiologic results of the THA in both
groups are significantly comparable.
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