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- Title
THERAPEUTIC STRATEGY IN THE REHABILITATION OF THE DYSPLASTIC HIP THROUGH ARTHROPLASTY.
- Authors
Savin, Liliana; C., Barbărosie
- Abstract
Total hip arthroplasty in degenerative pathology secondary to congenital dysplasia differentiates itself among total arthroplasties by the frequent technical difficulties it poses and the site where it is performed. The existence of a form of congenital dysplasia that remained untreated or insufficiently treated in childhood leads to irreversible deformities in adulthood. Partial or total loss of joint congruence causes, in time, degenerative changes with the impairment of hip mobility and is associated with a number of progressive deformations (limb length discrepancy, abnormal rotation, asymmetric lesions, periarticular muscle failure), which gradually reduce the quality of the patient's life. This study aims at investigating the incidence of prosthetic hip arthroplasty for osteoarthritis secondary to dysplastic hip in the total number of arthroplasties, the age when surgery is performed, the type of deformity and prosthetic components used, and the postoperative and long-term functional results. The study was conducted on 110 patients who received total hip arthroplasty due to osteoarthritis secondary to hip dysplasia, between 1994 and 2011, in the Orthopaedics Trauma Department of the Rehabilitation Hospital of Iasi, the incidence being of 3.34% of the total number of arthroplasties, with a prevalence of 65% under the age of 50 years. The functional results were assessed, according to the Harris-hip-score parameters, as good or very good in proportion of 82%. The complexity of the area where the total hip arthroplasty is performed requires a good management consisting of thorough preoperative planning, determining the operatory indication, and specialized and individualized medical recovery.
- Subjects
TOTAL hip replacement; EXERCISE therapy; DYSPLASIA; ARTHROPLASTY; JOINT surgery
- Publication
Sport & Society / Sport si Societate, 2012, Vol 12, Issue 1, p71
- ISSN
1582-2168
- Publication type
Article