Abstract
Forty-one hips in 38 elderly patients with osteoarthritis of the hips, operated on with joint preserving techniques at the age of 55 years or more, were analyzed clinically radiologically. Bilateral involvement was seen in 13 cases. Ten hips were operated on after this study, before the patients were 55 years old, or no operation has yet been done. The average age at operation was 59 years, and the average preoperative hip scores (Merle d'Aubigné) were as follows: pain 2.8; range of motion (ROM) 4.4; gait 3.4. Average preoperative hip flexion and abduction were 88° and 20° respectively. Mean follow-up period was 57 months, and mean final hip scores were: pain 5.1; ROM 4.6; gait 4.0. Significant improvement was seen in pain and gait scores but no improvement in ROM scores. Excellent and good scores were achieved in half of the cases. Failure was seen in four cases. Hip pain recurred in nine patients. Five out of these patients were classified as atrophic according to Bombelli's classification of osteoblastic response of osteoarthritis of the hip. The responsiveness of the femoral head influenced the clinical results of the joint-preserving operations.
Similar content being viewed by others
References
Bombelli R (1983) Osteoarthritis of the hip: classification and pathogenesis, 2nd edn. Springer, Berlin Heidelberg New York
Booth RE, Balderston RA, Rothman RH (1988) Total hip arthroplasty. Saunders, Philadelphia
Langlais F, Roure J-L, Maquet P (1979) Valgus osteotomy in severe osteoarthritis of the hip. J Bone Joint Surg [Br] 61:424–431
Maquet PGJ (1985) Biomechanics of the hip: as applied to osteoarthritis and related conditions. Springer, Berlin Heidelberg New York
Maquet PGJ (1989) Osteotomies of the proximal femur. In: Reynolds D, Freeman M (eds) Osteoarthritis in the young adult hip. Churchill Livingstone, Edinburgh, pp 63–81
Merle d'Aubigné R, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg [Am] 36:451–475
Nagatsuru Y (1980) Clinical study on the partial resection of acetabular edge combined with intertrochanteric osteotomies. J Nara Med Assn 31:266–281 (in Japanese)
Pauwels F (1976) Biomechanics of the normal and diseased hip. Theoretical foundation, technique and results of treatment. An atlas. Springer, Berlin Heidelberg New York
Reynolds D (1989) Acetabular displacement osteotomy: the Chiari operation. In: Reynolds D, Freeman M (eds) Osteoarthritis in the young adult hip. Churchill Livingstone, Edinburgh, pp 120–142
Saito M, Saito S, Ohzono K, Ono K (1987) The ostcoblastic response to osteoarthritis of the hip. Its influence on the long-term results of arthroplasty. J Bone Joint Surg [Br] 69:746–751
Scheller AD, Turner RH, Lowell JD (1986) Complications of arthroplasty and total joint replacement in the hip. In: Epps CH (ed) Complications in orthopaedic surgery. 2nd edn. Lippincott, Philadelphia, pp 1059–1108
Spitzy H (1928) Dauerresultate nach künstlicher Pfannendachbildung. Z Chir 55:1282–1285
Ueno R (1978) Severe osteoarthritis of the hip and its surgical treatment by Pauwels' osteotomy. Acta Orthop Belg 44:211–218
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohsawa, S., Matsushita, S. & Ueno, R. Joint-preserving operations for elderly patients with advanced and late-stage coxarthritis. Arch Orthop Trauma Surg 113, 302–307 (1994). https://doi.org/10.1007/BF00426176
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00426176