The longevity of total hip replacements in young active patients is a cause for concern as increased cyclical loading can result in early loosening of implants resulting in multiple revisions during the patient's lifetime. The study presented demonstrates excellent survival of the HAC-coated femoral stems in young active individuals. 33 Patients under 50 years of age underwent 38 total hip arthroplasties using the JRI Furlong HAC-coated femoral stem. The retrospective evaluation of the prospectively collected data of the cohort at 17 to 25 years is presented.Introduction
Patients/Materials & Methods
To evaluate the results of using external fixation to stabilise femoral derotation osteotomy involved in DDH surgery. A retrospective analysis was performed on 44 patients undergoing 48 femoral osteotomies for DDH surgery between the years 2001 and 2009 by a single surgeon (senior author MC). The external fixator was used either during the primary procedure involving femoral shortening to aid in hip reduction (4 patients) or to correct femoral malrotation in a reduced hip as a secondary procedure(40 patients). As the external fixator frame was within the hip spica it was not a cause of concern to the parents or the child. There was no evidence of any pin tract infection and all patients eventually progressed to satisfactory bony union. One patient had delayed union which was treated successfully with conservative management and one patient had a malunion requiring a further osteotomy and extended treatment with the external fixator.Purpose of Study
Methods and results
