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Functional evaluation of total hip arthroplasty with five- to ten-year follow-up evaluation
PERRIN T; DORR LD; PERRY J
CLIN ORTHOP RELAT RES , 1985, n° 195, p. 252-260 Doc n°: 20991 Localisation : Documentation IRR Descripteurs : DE1 - MEMBRE INFERIEUR DANS SON ENSEMBLE, DE361 - TRAITEMENT CHIRURGICAL / HANCHE Forty-seven patients with unilateral hip disease had a preoperative and postoperative gait analysis of total hip arthroplasty with a follow-up period of five to ten years. The object was to correlate the levels of function with mechanical loosening. Unilateral total hip arthroplasty in uncomplicated patients restored function to 80% of normal over a two- to four-year period. Patients followed longer than five years appeared to have an accelerated decline in function unassociated with pain. No class C patient, regardless of age or gait velocity, developed loosening or required revision of the hip prosthesis. Survivorship studies revealed an 85% - 90% incidence of loosening by the seventh post-operative year in class A patients 55 years or younger and those walking preoperatively at more than 50% of normal gait velocity. In these same two groups of patients, the probability of revision for mechanical failure by ten years is 58% for age and 66% for fast walkers. The majority of patients in this study had a technical rating not acceptable by present standards so that these results represent most likely the worst prognosis for longevity of total hip arthroplasty. In high-risk patients, protected ambulation with crutches for six months postoperation may improve their prognosis. Langue : ANGLAIS Identifiant basis : 1985001823 |
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