Long-term results of total hip arthroplasty with «physiohip» trabecular-bionic stem

Authors

  • Oleksandr Kosiakov City Orthopedic Center of Endoprosthetics, Surgery and Rehabilitation, Kyiv. Ukraine, Ukraine
  • Оleksandr Buryanov Bogomolets National Medical University, Kyiv. Ukraine, Ukraine https://orcid.org/0000-0002-8957-7599
  • Vitaliy Bondar City Orthopedic Center of Endoprosthetics, Surgery and Rehabilitation, Kyiv. Ukraine, Ukraine

DOI:

https://doi.org/10.15674/0030-59872018399-103

Keywords:

hip arthritis, aseptic femoral head necrosis, total hip arthroplasty, «Physiohip» trabecular-bionic stem, scale for functional results assessment Harris Hip Score, rehabilitation

Abstract

More often short femoral components are used in Ukraine, including the trabecular bionic stem «Physiohip».

Objective: to analyze the results of the total hip arthroplasty with this kind of stem, to determine the factors affecting the development of its aseptic loosening.

Methods: we made retrospective analysis of 37 patients after total hip arthroplasty in 1 to 7 years follow-up. There were 25 men (68 %), women — 12 (32 %). The average age was 46 years old (from 28 tо 77). Operations were made at primary arthritis of the 3–4 stages, dysplastic arthritis 3–4 stages, and aseptic femoral head necrosis 3–4 degrees and femoral neck fractures. Functional results were assessed according to Harris Hip Score.

Results: in 7 years after surgery excellent functional result was observed in 16 patients (43 %), in 9 patients (24 %) — good result, in 4 patients (11 %) there was satisfactory result, but in 8 cases (22 %) — failed result. The best functional results were at aseptic femoral head necrosis and idiopathic primary arthritis.

Conclusions: Implantation of the trabecular bionic stem «Physiohip» h as i ts own a ccurate i ndications, t he o peration requires strict adherence to surgical techniques, and postoperative rehabilitation therapy must be carried out taking into account the individual characteristics of the patient. Factors that affected aseptic stem loosening were inaccurate choice of the stem size, inappropriate technique of stem implantation, osteoporosis and early active postoperative rehabilitation, especially in patients with high body mass index.

Author Biographies

Oleksandr Kosiakov, City Orthopedic Center of Endoprosthetics, Surgery and Rehabilitation, Kyiv. Ukraine

PhD

Оleksandr Buryanov, Bogomolets National Medical University, Kyiv. Ukraine

MD, Prof. in Traumatology and Orthopaedics

References

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How to Cite

Kosiakov, O., Buryanov О., & Bondar, V. (2023). Long-term results of total hip arthroplasty with «physiohip» trabecular-bionic stem. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 99–103. https://doi.org/10.15674/0030-59872018399-103

Issue

No. 3 (2018)

Section

IN AID OF PRACTING DOCTOR. LECTURES

License

Copyright (c) 2018 Alexandr Kosiakov, Alexandr Buryanov, Vitalii Bondar

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