ISSN: 1859 - 2872
Spiron total hip replacement, long-term results evaluation after more than 4 years and comments
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Summary
Objective: Review the results 4 years after treatment of avascular necrosis of femoral head by using Spiron total hip replacement and give some comments. Subject and method: From 2012 to 2016, 66 patients who were not older than 50 years old with stage IV, V, VI of avascular necrosis (According to Steinberg classification) were treated by 81 Spiron hips replacement in the Institute of Trauma and Orthopedic at 108 Military Central Hospital. Study method: retrospective study. Result: Harris score pre-operative was 45.6 (± 3.4) points. The average follow-up time was 75.2 months, the shortest was 50 months, the longest was 94 months, average Harris score at the final examination was 84.3 (± 4.2). Results: 50.6% hips were exellent, 23.4% were good, 17.4% hips were medial, 8.6% hips were bad. There were 7 cases (8.6%) with revision hip replacement (only stem revision), there were 15 cases (18.5%) with over 2mm of displaced stems. Conclusion: Four years after treatment of avascular necrosis of femoral head using Spiron total hip replacement, results were, but the rate for revision and displaced stems complications remained high.
Keywords: Review after 4 years, Spiron total hip replacement, results and comments.
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References
2. Harris W et al (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51(4): 737-755.
3. Lugeder A, Häring E, Müller A, Dorste P, Zeichen J (2013) Total hip arthroplasty with the cementless spiron femoral neck prosthesis. Orthopaedic and Trauma Surgery 25: 388-397.
4. Nguyễn Văn Thạch và cộng sự (2013) Đánh giá kết quả bước đầu của phương pháp thay khớp háng loại Spiron cho các bệnh nhân trẻ tuổi. Tạp chí Chấn thương Chỉnh hình Việt Nam (3), tr. 22-26.
5. Bùi Hải Nam (2015) Đánh giá kết quả phẫu thuật thay khớp háng toàn phần không xi măng cán ngắn tại Bệnh viện Việt Đức. Luận văn cao học, trường Đại học Y Hà Nội, tr. 70-71.
6. Mai Đức Thuận và cộng sự (2017) Đánh giá kết quả sau bốn năm thay khớp háng cán ngắn Spiron. Tạp chí Chấn thương Chỉnh hình Việt Nam, Số đặc biệt, tr. 345-350.
7. Banerjee S, Pivec R, Issa K et a (2013) Outcomes of short stems in total hip arthroplasty. Orthopedics 36(9): 700-707.
8. Stulberg SD, Patel RM (2013) The short stem: promises and pitfalls. The Journal of Bone and Joint Surgery 95: 57-62.
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