Total hip replacement update: cement v cementless arthroplasty.
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Age Factors↗
Biomedical subjects
K Keggi
Publications and source records attributed to K Keggi.
Total hip replacement in Down's syndrome.
Hip subluxation occurs in 4% to 5% of Down's patients; adulthood coxarthrosis may result. Eight total hip replacements were performed in five Down's patients (ages 37 to 64 years) for painful coxarthrosis. The patients were followed for a mean of 4.3 years. The hip scores improved from an average of fair preoperatively to excellent postoperatively, with a Harris hip score of 92. All of the patients demonstrated clinical improvement and were cared for more easily by virtue of the procedure. There were no major complications. Total hip replacement should be considered a useful surgical option for the treatment of hip osteoarthritis in patients with Down's syndrome.
Adult↗
Total hip replacement in the neuromuscularly impaired.
UNLABELLED: Controversy exists over the appropriate use of total hip arthroplasty in patients with significant neuromuscular disease. This study investigated the use of THR in neuromuscular disease patients. A criterion for patient inclusion was a diagnosis of mental retardation, cerebral palsy or Down's syndrome. The study population consisted of nine patients (12 hips), average age, 42 years. Average follow-up was 3.5 years. RESULTS: (1) 100% of patients demonstrated decreased pain, expanded range of motion and improved overall function. (2) All institutionalized patients were cared for more easily. (3) There were no infections, dislocations or major complications. CONCLUSION: Total hip arthroplasty is a reasonable and safe therapeutic option for the treatment of painful osteoarthritis of the hip in select patients with neuromuscular disease.
Adolescent↗
Non-operative treatment of severe injuries to the medial and anterior cruciate ligaments of the knee.
We are reporting the results of conservative treatment of concomitant injuries to the medial collateral and anterior cruciate ligaments of the knee in twenty-eight patients (average age, twenty-eight years), who were followed for an average of three years. Twenty patients had a good or excellent result. Eleven of the fifteen patients who played contact sports and six of the nine who played non-contact sports returned to their preinjury levels of athletic activity. The older and nonathletic individuals had the poorest final results. We concluded that in many individuals with combined injury to the medial collateral and anterior cruciate ligaments, the knee responds well when treated conservatively.
Adolescent↗