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Total hip arthroplasty in patients affected by poliomyelitis.

Abstract Aims The aims of this study were to determine the clinical and radiographic outcomes, implant survivorship, and complications of patients with a history of poliomyelitis undergoing total hip arthroplasty (THA) in affected limbs and unaffected limbs of this same population. Patients and Methods A retrospective review identified 51 patients (27 male and 24 female, 59 hips) with a mean age of 66 years (38 to 88) and with the history of poliomyelitis who underwent THA for degenerative arthritis between 1970 and 2012. Immigrant status, clinical outcomes, radiographic results, implant survival, and complications were recorded. Results In all, 32 THAs (63%) were performed on an affected limb, while 27 (37%) were performed on an unaffected limb. The overall ten-year survivorship free from aseptic loosening, any revision, or any reoperation were 91% (95% CI 0.76 to 0.99), 91% (95% CI 0.64 to 0.97) and 87% (95% CI 0.61 to 0.95), respectively. There were no revisions for prosthetic joint infection. There were no significant differences in any of the above parameters if THA was on the affected or unaffected control limbs. Conclusion Patients with a history of poliomyelitis who undergo THA on the affected or unaffected limbs have similar results with overall survivorship and complication rates to those reported results in patients undergoing THA for osteoarthritis. At long-term follow-up, previous clinical concerns about increased hip instability due to post-polio abductor weakness were not observed. Cite this article: Bone Joint J 2018;100-B:733-9.
PMID
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Total hip arthroplasty performed in patients with residual poliomyelitis: does it work?

Authors

Mayor MeshTerms
Keywords

Complications

Poliomyelitis

Survivorship

Total Hip Arthroplasty

Journal Title the bone & joint journal
Publication Year Start




PMID- 29855245
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 6
DP  - 2018 Jun 1
TI  - Total hip arthroplasty in patients affected by poliomyelitis.
PG  - 733-739
LID - 10.1302/0301-620X.100B6.BJJ-2018-0127.R1 [doi]
AB  - Aims The aims of this study were to determine the clinical and radiographic
      outcomes, implant survivorship, and complications of patients with a history of
      poliomyelitis undergoing total hip arthroplasty (THA) in affected limbs and
      unaffected limbs of this same population. Patients and Methods A retrospective
      review identified 51 patients (27 male and 24 female, 59 hips) with a mean age of
      66 years (38 to 88) and with the history of poliomyelitis who underwent THA for
      degenerative arthritis between 1970 and 2012. Immigrant status, clinical
      outcomes, radiographic results, implant survival, and complications were
      recorded. Results In all, 32 THAs (63%) were performed on an affected limb, while
      27 (37%) were performed on an unaffected limb. The overall ten-year survivorship 
      free from aseptic loosening, any revision, or any reoperation were 91% (95% CI
      0.76 to 0.99), 91% (95% CI 0.64 to 0.97) and 87% (95% CI 0.61 to 0.95),
      respectively. There were no revisions for prosthetic joint infection. There were 
      no significant differences in any of the above parameters if THA was on the
      affected or unaffected control limbs. Conclusion Patients with a history of
      poliomyelitis who undergo THA on the affected or unaffected limbs have similar
      results with overall survivorship and complication rates to those reported
      results in patients undergoing THA for osteoarthritis. At long-term follow-up,
      previous clinical concerns about increased hip instability due to post-polio
      abductor weakness were not observed. Cite this article: Bone Joint J
      2018;100-B:733-9.
FAU - DeDeugd, C M
AU  - DeDeugd CM
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Perry, K I
AU  - Perry KI
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Trousdale, W H
AU  - Trousdale WH
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Taunton, M J
AU  - Taunton MJ
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Lewallen, D G
AU  - Lewallen DG
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Abdel, M P
AU  - Abdel MP
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Hip/adverse effects/*methods
MH  - Female
MH  - Hip Joint/*surgery
MH  - Hip Prosthesis/adverse effects
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Hip/complications/*surgery
MH  - Poliomyelitis/complications/*surgery
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Survivorship
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Complications
OT  - Poliomyelitis
OT  - Survivorship
OT  - Total Hip Arthroplasty
EDAT- 2018/06/02 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/06/02 06:00
PHST- 2018/06/02 06:00 [entrez]
PHST- 2018/06/02 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1302/0301-620X.100B6.BJJ-2018-0127.R1 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Jun 1;100-B(6):733-739. doi:
      10.1302/0301-620X.100B6.BJJ-2018-0127.R1.