A decade of experience in hip arthroplasty in dysplastic coxarthrosis

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Abstract

One hundred ninety two patients, aged 25—78, with dysplastic coxarthrosis underwent total hip replacement (46 out of them bilateral). Technical peculiarities of operations were given. Depending on the character and severity of hip damages the implants of various design were used, if necessary the plasty of spongy bone autografts was performed. At follow up under 10 years in 96% of patients the significant improvement of state was noted. In 3 cases revision total hip replacement was performed, i.e. in 2 cases due to acetabular component loosening and in 1 case due to implant loosening

About the authors

V. P. Abeltsev

Medical Center of the Administration of the President of the Russian Federation

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

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1. JATS XML
2. Pic. 1. Radiographs of the patient G., 47 years old. Diagnosis: bilateral dysplastic coxarthrosis stage III, flexion-adductor contracture of both hips, absolute shortening of the left lower limb by 3 cm.a — before surgery; b — 9 years after surgery on the right and 9.5 years after surgery on the left hip joint: the length and function of the limb were restored, good osseointegration of the endoprosthesis components.

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3. Pic. 2. Radiographs of patient K., 42 years old. Diagnosis: congenital dislocation of both hips with absolute shortening of the limbs (right - by 5.5 cm, left - by 3 cm). a - before surgery; b — 1 year after surgery on the left and 1.5 years after surgery on the right hip joint.

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