Cementless Total Hip Arthroplasty using Cone Prosthesis for Childhood Septic Hip Sequelae

Taek Rim Yoon; Eun Kyoo Song; Sang Jin Park; Sang Gwon Cho; Ji Hyeon Yim

doi:10.4055/jkoa.2007.42.6.718

Journal List > J Korean Orthop Assoc > v.42(6) > 1012723

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Yoon, Song, Park, Cho, and Yim: Cementless Total Hip Arthroplasty using Cone Prosthesis for Childhood Septic Hip Sequelae

Original Article

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2007; 42(6): 718-723.

Published online: 31 December 2007

DOI: https://doi.org/10.4055/jkoa.2007.42.6.718

Cementless Total Hip Arthroplasty using Cone Prosthesis for Childhood Septic Hip Sequelae

Taek Rim Yoon, M.D., Eun Kyoo Song, M.D., Sang Jin Park, M.D., Sang Gwon Cho, M.D., Ji Hyeon Yim, M.D.

Department of Orthopedics, Chonnam National University School of Medicine, Gwangju, Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea.

Address reprint requests to Taek Rim Yoon, M.D. Department of Orthopedics, Chonnam National University School of Medicine, Center for Joint Disease, Chonnam National University Hwasun Hospital, 160, Ilsim-ri, Hwasune-up, Hwasun-gun, Jeonnam 519-809, Korea. Tel: +82.61-379-7676, Fax: +82.61-379-7681, lhc2455@paran.com

Abstract

Purpose

To evaluate the clinical and radiographic results of cementless total hip arthroplasty using cone prosthesis for childhood septic hip sequelae.

Materials and Methods

Thirty-seven patients of childhood septic hip sequelae that were treated with total hip arthroplasty using cone prosthesis, were evaluated after at least 2 years of follow-up. The average age at the time of the operation was 44 years. The cause of hip infection was pyogenic in 34 cases and tuberculous in 3. The average duration of follow-up was 51 months.

Results

The average Harris hip score improved from 45 points preoperatively to 90 points postoperatively. The mean leg length discrepancy decreased from 3.1 cm preoperatively to 0.7cm postoperatively. There was one case of stem subsidence over 5 mm, which didn't progress further. One patient underwent revision for migration of acetabular cup at postoperative 53 months. Postoperative infection occurred in 2 patients at postoperative 6 and 9 months respectively, which were treated by prosthesis removal. Radiolucent line over 2 mm was observed between the bone and stem in 1 case, without any evidence of loosening.

Conclusion

Cementless total hip arthroplasty using cone prosthesis for childhood septic hip sequelae resulted in excellent clinical and radiographic outcome.

Keywords: Hip, Infection sequelae, Cone prosthesis, Total hip arthroplasty

Figures and Tables

Fig. 1

(A) Preoperative radiograph of 53 year old woman shows complete disruption of joint space with a high-riding greater trochanter, a dysplastic acetabulum, and a small femoral canal. (B) Anteroposterior radiograph immediately after a cementless total hip arthroplasty using Cone prosthesis is showed. (C) Anteroposterior radiograph at 8 years and 4 months postoperatively shows no evidence of radiolucent line or subsidence.

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