The neuromuscularly challenged patient: total hip replacement is now an option.
Degenerative problems of the hip in patients with childhood and adult onset neuromuscular disorders can be challenging to treat. Many orthopaedic surgeons are reluctant to recommend total hip replacement (THR) for patients with underlying neuromuscular disorders due to the perceived increased risks of dislocation, implant loosening, and lack of information about the functional outcomes and potential benefits of these procedures in these patients. Modular femoral components and alternative bearings which facilitate the use of large femoral heads, constrained acetabular components and perhaps more importantly, a better understanding about the complications and outcomes of THR in the patient with neuromuscular disorders, make this option viable. This paper will review the current literature and our experience with THR in the more frequently encountered neuromuscular disorders.
University Hospitals Case Medical Center, The Center for Joint Replacement and Preservation, 11100 Euclid Avenue, Cleveland, Ohio, 44106, USA.
M J
MJ
Kraay
University Hospitals Case Medical Center, The Center for Joint Replacement and Preservation, 11100 Euclid Avenue, Cleveland, Ohio, 44106, USA.
S D
SD
Bigach
D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D006622:Hip Prosthesis; D006801:Humans; D009468:Neuromuscular Diseases / Q000150:complications* / Q000601:surgery; D015207:Osteoarthritis, Hip / Q000209:etiology* / Q000601:surgery*; D011474:Prosthesis Design
Cerebral palsy; Cerebral vascular accident; Parkinsons disease; Poliomyelitis; Total hip arthroplasty