KẾT QUẢ ĐIỀU TRỊ THOÁI HÓA KHỚP HÁNG BẰNG PHẪU THUẬT THAY KHỚP TOÀN PHẦN CHUYỂN ĐỘNG ĐÔI TẠI BỆNH VIỆN QUÂN Y 175

Dũng Lê Tuấn; Đồng Trần Lê; Tiến Mỵ Duy; Hiếu Lê Trung; Anh Ngô Quý

doi:10.59354/ydth175.2023.65

Keywords:

Dual mobility hip arthroplasty

Abstract

Objective: Assess the results of dual mobility hip arthroplasty in the treatment of hip osteoarthritis patients.

Subject and method: Describe clinical case series, vertical tracking 46 osteoarthritis hip joints in 37 patients who suffer from dual mobility hip arthroplasty in Orthopeadic center of Military Hospital 175 from July 2019 to November 2020.

Results and Conclusion: tracking time 19 ± 5,3 months showing the result that Harris Hip Score increased from 66,7 ± 9,15 to 92,11 ± 6,18, good and excellent results accounted for 100%. There are no case of dislocaiton.

Conclusion: We believe that dual mobility hip arthroplasty can indicate for primary surgery, specifically in young patients or patients with high risks of prosthetic instability.

References

Bùi Tuấn Anh và cs (2020), “Kết quả điều trị hoại tử vôkhuẩn chỏm xương đùi bằng phẫu thuật thay khớp háng toàn phần không xi măng ở người dưới 50 tuổi”, Tạp chí Y dược thực hành 175, Số 22 - 6/2020, tr. 16 - 22.

Mai Đắc Việt và cs (2015), “Đánh giá kết quả thay khớp háng toàn phần không xi măng gốm trên gốm ở bệnh nhân hoại tử vôkhuẩn chỏm xương đùi”, Tạp chí Y dược học quân sự, tr. 119-127.

Antoine Combes et al. (2013), “Low rate of dislocation of dual-mobility cups in primary total hip arthroplasty”, Clin Orthop Relat Res, 3891-3900.

Bradley S. Raphael et al. (2010), “Long-term followup of total hip arthroplasty in patients with cerebral palsy”, Clin Orthop Relat Res, 1845-1854.

Chahine Assi et al. (2019), “Primary total hip arthroplasty: mid-term outcomes of dual-mobility cups in patients at high risk of dislocation”, HIP International. 31 (2), pp. 174-180.

Charnley J. (1979), Low Friction Arthroplasty of the Hip: Theory and Practice, Springer, Berlin.

George J. Haidukewych et al. (2006), “Intraoperative fractures of the acetabulum during primary total hip arthroplasty”, J Bone Joint Surg Am, 1952-1956.

Juncheng Li et al. (2020), “Management of intraoperative acetabular fracture in primary total hip arthroplasty”, BMC Musculoskeletal Disorders, BioMed Central, 383-383.

Nowak M. et al. (2012), “Risk factors for intraoperative periprosthetic femoral fractures during the total hip arthroplasty”, Pol Orthop Traumatol. 77, pp. 59-64.

Ping Keung Chan et al. (2021), “Use of a modular hip dual-mobility articulation in patients with high risk of dislocation: a relatively small-sized acetabulum in Asian patients may limit its use”, Arthroplasty. 3 (1), pp7.