Total hip arthroplasty in patients with Down's syndrome.
Hip disease occurs in between 8% and 28% of patients with Down's syndrome, many of whom develop disabling pain. We have carried out total hip replacement in six adult patients (9 hips) with severe arthritis of the hip. The mean follow-up was 7.75 years (2 to 14). At the latest review, all had relief of pain and full hip function. Increasing longevity and a high incidence of hip disease in these patients suggest a greater role for total hip arthroplasty in the future.
Kioschos
M
M
Department of Orthopaedics and Rehabilitation, Oregon Health Sciences University, Portland 97201-3098, USA.
Shaw
E D
ED
Beals
R K
RK
D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D004314:Down Syndrome / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D005260:Female; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D011859:Radiography