Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 25507
HIP RESURFACING ARTHROPLASTY IN INFLAMMATORY ARTHRITIS. A
THREE- TO FIVE YEAR FOLLOW-UP STUDY.
Rajesh MALHOTRA, Arun KANNAN, Vijay KUMAR, Dharmesh KHATRI, Kanniraj
MARIMUTHU
AIIMS, New Delhi (INDIA)
The success of hip resurfacing in younger patients with primary osteoarthritis has
paved way for trial of the procedure in patients with secondary osteoarthritis of hip.
Early results in patients with osteoarthritis secondary to osteonecrosis,
developmental dysplasia of hip, Perthe’s disease and slipped capital femoral
epiphysis have been encouraging. We retrospectively reviewed the clinical and
radiological results in a cohort of 23 patients (32 hips) with inflammatory arthritis who
were chosen for hip resurfacing after normalizing vitamin D levels and ruling out
proximal femoral osteopenia using dual energy X-ray absorptiometry. At a minimum
follow-up of three years there was one hip failed by fracture of the femoral neck
attributable to osteonecrosis of the remnant head. The clinical outcome, evaluated
using Harris Hip Score, was good to excellent outcome in 30 out of 31 hips. Hip
resurfacing is a promising alternative in carefully chosen patients with inflammatory
arthritis.
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