RALEIGH ORTHOPEDIST

Bibliography on the probl?s of hip in the ACJ. Total hip arthroplasty in youthful chronic arthritis: has consecutive series. Division of Orthopaedic Surgery, Stanford University School of Medicine, California, the USA. Notes: Total Twenty-nine hip arthroplasties in 16 patients with youthful chronic arthritis were performed by one sucker and followed prospectively. The 9 female and 7 male patient averaged 21 years of age (arranges, 14-35). Height and weight averaged 160 cm (63 inches) and 53 kg (118 lb. Preoperative miniature planning used small gold components to accommodate the small anatomic proportions of the hip. The femoral component was cementless in the majority (20/29), goal required cementing in 10 of 29 hips because of poor bone stock. The acetabula were reconstructed with has porous-coated cup with gold without screws (27/29) gold with has cemented cup (2/29). Follow-up periods averaged 53 months (arranges, 24-100 months). The average Harris hip score improved from 37 to 78 after surgery (P =. Bread relief was excel. 15 of 16 patients (27/29 hips) expressed has improvement significant in daily function and lifestyle, despite systemic involvement of to their arthritis. The arranges of motion of the hip improved significantly in all plane (P =. Two of the 4 uncemented Muller CDH components (Protek, Bern, Switzerland) with has broad offset cuts migrated into varus. both are bread-free. One cemented femoral component has been revised because of aseptic loosening. Youthful total hip arthroplasty with cement for rheumatoid arthritis. results At has minimum of ten years in patients less than thirty years old. Newspaper of Bone and Joint Surgery - Series A 79, 44-52. Thirty-nine patients (sixty- six hips) were managed with this procedure At our institution between 1971 and 1983. Twenty-eight patients (forty-six hips) had original At least one component in situ after year average duration of clinical follow-up of 15.1 years, and twenty-three of these patient (thirty-eight hips) were followed radiographically for year average of 14. The fifteen-year survival misses for the femoral components was 85 per hundred with revision gold radiographic loosening have the end not. Total The benefits of hip arthroplasty were maintained over the long term in most of our patient who had youthful rheumatoid arthritis. However, the durability of the components in these Young patients remains has concern. The natural history of hip involvement in youthful rheumatoid arthritis: radiological and magnetic resonance imaging follow-up study has. Flesh of Rheumatology, University of Milan, Center for Rheumatic Children, Gaetano Pini Institute, Italy. Ultrasonography in the early diagnosis of hip joint involvement in youthful rheumatoid arthritis. METHODS: Hip joined of 53 patients were evaluated clinically, by conventional radiography and ultrasound. Ten children free of signs/symptoms related to rheumatic diseases were chosen have has control group. Nine patients were followed up 28 months after baseline examinations. The clinical, radiological, and ultrasound evaluations were repeated. RESULTS: Conventional radiography showed alterations in 10 patients (18.2% involvement in the hips of patient with JRA. Sensitive Thus, ultrasound was apparently more than conventional radiographs in diagnosing patient exchanges in the hip joined of with JRA. CONCLUSION: Ultrasonography is has method of diagnosis that must Be considered in hip joint of evaluation patient with JRA Type: NEWSPAPER ARTICLE ISSN: 0315-162X Language: Eng. Influence of ignition and muscular imbalance one growth and form of the hip in youthful chronic arthritis. Hospital for Pediatric Rheumatology, Garmisch-Partenkirchen, Germany. Survivorship of the total Charnley hip arthroplasty in youthful chronic arthritis. Notes: Between 1971 and 1991 we performed Charnley low-friction arthroplasty (LFA) one 116 patients (186 hips) with youthful chronic arthritis (JCA). We cuts now carried out has survival study, taking endpoints have revision, death gold the end of the year 1993. That of the femoral component was 95. Only the uses of steroids significantly impaired the survival. We therefore recommend the uses of patient Charnley LFA for Young replacement total with JCA requiring hip. Conservative treatment of the hip in youthful chronic arthritis. Hospital for Pediatric Rheumatology, Garmisch-Partenkirchen, Germany. Youthful total hip arthroplasty for chonic arthritis: has 34 total box review arthroplastie of hip in the youthful chronic arthritis. Review of Orthopedique Surgery and Reparatrice of the Driving Apparatus 82(6), 508-521. Infantile service of Orthop?e-Traumatology, H?tal of the Sick Children, Paris. Notes: From 1984 1992 have, 20 patients reached of youthful chronic arthritis suivisa the Hospital Sick Necker-Children have beneficie of a arthroplastietotale of hip. That represente a series of 34 prostheses, which sonten majorite of the prostheses of the Zweymuller type not cimentees. With the 5 years reculmoyen, the functional result has ete very satisfactory puisquedans more than 85 p. 100 of the cases, the resumption of a current activity aete obtained. In addition, the profit on the pain also has ete tresimportant since indolence has ete obtained in more than 80 p. In addition, the very weak rate of complications relevedans the series, malgre the ground, encourages has to retain the arthroplastietotale hip in the arsenal therapeutic of arthritis chroniquejuvenile. Between 1984 and 1992, 34 youthful total hip prostheses were implanted for chronic arthritis in 20 patients. Most prostheses were Zweymuller cementless prostheses. In 85 per hundred of boxes, patient had has normal activity recovery. Bread relief was very good since in 80 per hundred boxes patients had has total indolence. Beyond these good clinical results At this mean follow-up, the hand interest of this study is to characterize two different periods in the surgical technical. Cementless prostheses appear to Be has satisfying solution in this disease, preserving bones and showing very good radiological and functional results. Long Factors correlating with term survival of mckee-farrar total hip prostheses. Clinical Orthopaedics and Related Research -, S48-S59. Notes: Clinical and radiographic of evaluations 15 McKee-Farrar hip replacements in 13 patients with followup of 21 to 26 years were performed. The average Harris hip score was 86 with patient No having has poor result. These patients outscored the age matched controls in all categories of the SF-36 health survey. Qualitative All patients were community ambulators with activity levels exceeding the average for to their age. Quantitative activity assessment with has pedometer in 3 patients indicated A current average of approximately 900,000 cycles per year. This represents more than 21 million cycles when extrapolated during the life of the implants. None of the femoral components were radiographically loose. One acetabular component may Be loose. Osteolysis developed in 3 apparently well fixed femurs and in 1 acetabulum. There were several features of these boxes that may cuts contributed to the long survival: (1) relatively small stature of the patient who averaged 160.9 kg (147 lbs) in weight. (2) favorable biomechanics of the rebuilding with the hip center of rotation being medialized by year average of 6.4 mm and the femoral offset increased by year average of 4. Previous analyses and let us comparisons of the clinical performance of the McKee-Farrar implant cuts focused one the metal one metal bearing. Metal one metal surface replacement of the hip: technique, fixing, and early results. Clinical Orthopaedics and Related Research -, S106-S114. Notes: High volumetric wear of polyethylene plays has central role in periprosthetic bone resorption and the failure of metal one total polyethylene hip resurfacing prostheses. Bread total relief was equal to conventional hip replacement with has better functional result with year average followup of 16 months (arranges, 10-25 months). The femoral component position and fixing is satisfactory in all 21 hips and there were No femoral neck notches gold fractures. All 4 cementless Wagner acetabular components appear to stable Be osseointegrated with interfaces. The cemented McMinn acetabular components, however, cuts shown cement progressive bone interface radiolucencies in 12 hips. This preliminary experiment underscores the importance of obtaining initial secure fixing. The metal one metal hip surface replacement procedure is in evolution. This ongoing experiment will help total guide hip surface replacement component design and establishment techniques. Primary arthroplasty of the hip in patients younger than 21 years of age. Hospital for Sick Children, University of Toronto, Ontario, Canada. Intraarticular hip treatment with triamcinolonehexacetonide in youthful chronic arthritis. Acta Univ Carol [ Med ] (Praha) 40(1-4), 123-126. Department of Paediatric Rheumatology, Rheumaklinik Bad Bramstedt, Germany. Notes: To evaluate the effect and tolerance of intraarticular Triamcinolonehexacetonide (TCH) in the race of chronic coxitis in youthful chronic arthritis (JCA) in open year uncontrolled study. Since 1990 we treated patient