Surgical Dislocation of the Hip for the Treatment of Pre-Arthritic Hip Disease.
The purpose of this study was to report the clinical results of surgical dislocation of the hip in the treatment of pre-arthritic hip disease. Between 2005 and 2010, eighty-two patients (89 hips) underwent a surgical dislocation of the hip at a mean age of 30.5 years (range 14.8-51.7); 10 females and 72 males. At a mean follow-up of 7.1 years (range 5-9.6) clinical function improved significantly. 6 patients were converted to total hip arthroplasty and 3 patients underwent an arthroscopy and an additional three patients had >1mm of joint space narrowing at latest follow-up giving us a 9-year cumulative Kaplan-Meier survivorship of 86.4% (CI, 79% to 94%). Thirty-four patients underwent internal fixation removal at a mean of 12.0 months (range 0.3-40.8 months). Although effective in the treatment of early hip disease, the surgical dislocation approach carries a high re-operation rate for removal of internal fixation; consequently, less invasive approaches should be considered for less complex deformities.
Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
Paul E
PE
Beaulé
Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
Amardeep
A
Singh
Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
Stéphane
S
Poitras
Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada.
Gillian
G
Parker
D000293:Adolescent; D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001182:Arthroscopy; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006615:Hip / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D055815:Young Adult
femoro-acetabular impingement(FAI); hip; outcome; pre-arthritic; surgical dislocation