Clinical relevance of acetabular erosion in young patients with a bipolar hip prosthesis.
In elderly patients bipolar hip prostheses are often used for intracapsular fractures of the femoral neck and are often complicated by pain after a few years; this pain is frequently related to acetabular erosion seen on xray. In this study 18 bipolar hip prostheses were used in the treatment of a proximal femoral sarcoma in a young patient population (mean age: 39.6 years). Their quality of life was evaluated by TESS and MSTS scores, after a mean follow-up of 81.8 months (range 8-171 months). A radiologic grading system was used to assess acetabular erosion on plain xrays. The patients did not report significant pain, they enjoyed a very good quality of life, and they did not show any obvious acetabular erosion. The use of a bipolar implant appears as a good alternative to total hip replacement in the treatment of relatively young patients who have to undergo proximal femoral tumor resection procedures and have a normal acetabulum.
Kiekens
G
G
Department of Orthopaedics and Trauma, University Hospital Antwerpen, Wilrijkstraat 10, B-2650 Edegem, Belgium.
Somville
J
J
Taminiau
A
A
D000077:Acetabulum / Q000000981:diagnostic imaging* / Q000293:injuries*; D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000523:psychology*; D002813:Chondrosarcoma / Q000601:surgery*; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery*; D011788:Quality of Life; D011859:Radiography; D012307:Risk Factors; D012512:Sarcoma, Ewing / Q000601:surgery*; D016896:Treatment Outcome