Custom-design implants for severe distorted proximal anatomy of the femur in young adults followed for 4-8 years

dc.contributor.authorKoulouvaris, P.en
dc.contributor.authorStafylas, K.en
dc.contributor.authorSculco, T.en
dc.contributor.authorXenakis, T.en
dc.date.accessioned2015-11-24T19:25:55Z
dc.date.available2015-11-24T19:25:55Z
dc.identifier.issn1745-3682-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22670
dc.rightsDefault Licence-
dc.subjectAcetabulum/radiographyen
dc.subjectAdulten
dc.subjectAgeden
dc.subject*Arthroplasty, Replacement, Hip/adverse effects/methods/rehabilitationen
dc.subjectFemaleen
dc.subjectFemur/*abnormalitiesen
dc.subjectFollow-Up Studiesen
dc.subjectHip Dislocation, Congenital/complications/radiography/*surgeryen
dc.subjectHip Joint/radiographyen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectOsteoarthritis, Hip/etiology/surgeryen
dc.subjectPatient Care Planningen
dc.subjectProsthesis Designen
dc.subjectTreatment Outcomeen
dc.titleCustom-design implants for severe distorted proximal anatomy of the femur in young adults followed for 4-8 yearsen
heal.abstractBACKGROUND: Treatment of hips with abnormal anatomy is challenging, and requires demanding surgical technique. We report the preoperative planning and the functional outcome of 38 patients with severe distorted anatomy who were treated with custom implants. PATIENTS AND METHODS: 38 consecutive patients (48 hips) were selected for customized femoral implants. The diagnosis was arthrosis due to congenital dislocation of the hip (CDH). We used plain radiographs, CT, and CAD-CAM analysis. The mean age was 47 (22-69) years and the mean preoperative D'Aubigne score was 10 (6-12). The mean follow-up time was 6 (4-8) years. RESULTS: All implants had optimal fit and fill. There were 2 revisions due to infection. No patients had thigh pain and no patients had aseptic loosening. There were 5 intraoperative and 6 postoperative complications. The mean postoperative D'Aubigne score was 17 (10-18). INTERPRETATION: Preoperative planning with modern technology and customized implants makes the procedure accurate, easier for the surgeon, and safer for the patient.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1080/17453670710014987-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/18484245-
heal.identifier.secondaryhttp://informahealthcare.com/doi/pdfplus/10.1080/17453670710014987-
heal.journalNameActa Orthopen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2008-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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