Tratamiento de la artritis asociada con la enfermedad de Legg-Calve-Perthes Con artroplastia total Modular de cadera

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Fuente
Este artículo es originalmente publicado en:

http://www.ncbi.nlm.nih.gov/pubmed/25979188

http://www.arthroplastyjournal.org/article/S0883-5403%2815%2900304-6/abstract

De:

Seufert CR1, McGrory BJ2.

J Arthroplasty. 2015 Oct;30(10):1743-6. doi: 10.1016/j.arth.2015.04.025. Epub 2015 Apr 24.

Todos los derechos reservados para:

Copyright © 2015. Published by Elsevier Inc.

Abstract

Legg-Calve-Perthes (LCP) disease can result in morphological deformities and associated adult hip arthritis. Thirty-five consecutive total hiparthroplasties (THA) were performed in 28 patients with a history of LCP using a non-cemented modular femoral component. There was one revision for late hematogenous infection and no evidence of prosthesis failure. Harris hip scores, on average, improved from 49.8 (26-73) to 93.9 (82-100) (P<0.05) after a minimum of 2years follow-up (average, 8.2years, range 2-14years). Clinically, patients demonstrated diminished or no limping (94%, 33/35) and improved leg length equality post-operatively (100%, 35/35). This style of stem accommodated metaphyseal/diaphyseal size mismatch in 80% (28/35), allowed for abnormal anteversion in 71% (25/35), and resulted in radiographic improvements in trochanteric height (P<0.05), body weight lever arm (P<0.05), and leg length (P<0.05).

Resumen
Legg-Calvé-Perthes (LCP) es una enfermedad puede dar lugar a deformidades morfológicas y asociado artritis de cadera del adulto. Treinta y cinco hiparthroplasties totales consecutivos (THA) se llevaron a cabo en 28 pacientes con una historia de LCP utilizando un componente femoral no cementado modular. Había una revisión para la infección hematógena tarde y no hay evidencia de insuficiencia prótesis. Las puntuaciones de cadera de Harris, en promedio, mejoró de 49,8 (26-73) a 93,9 (82-100) (p <0,05) después de un mínimo de 2 años el seguimiento (promedio, 8.2years, 2-14years rango). Clínicamente, los pacientes mostraron una disminución o ninguna cojera (94%, 33/35) y la igualdad mejora de longitud de las piernas después de la operación (100%, 35/35). Este estilo de vastago acomodó metafisaria / diafisaria tamaño desajuste en el 80% (28/35), permitió anteversión anormal en el 71% (25/35), y dio lugar a mejoras radiográficos de altura del trocánter (p <0,05), el brazo de palanca de peso corporal (P <0,05), y la longitud de las piernas (P <0,05).

 

Copyright © 2015. Published by Elsevier Inc.

KEYWORDS:

Legg–Calve–Perthes disease; S-ROM; arthroplasty; hip; modular; osteoarthritis

PMID: 25979188 [PubMed – in process]

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