Excellent Short-term Results of Articular Surface Replacement XL Total Hip Arthroplasty
Journal Title: Journal of Orthopedics & Bone Disorders - Year 2017, Vol 1, Issue 1
Abstract
Symptoms of pain, loosening and squeaking were historically reported as the main revision reasons for articular surface replacement XL (ASR XL) total hip arthroplasty. A total of 42 cementless primary total hip arthroplasties using ultra large-diameter femoral head and mono block acetabular component were performed in our institution. These consecutive 42 arthroplasties were retrospectively reviewed and the results were recorded and analysed. After an average 3-year follow-up period (range, 2.5-3.6 years), 42 primary replacements in 39 patients could be reviewed fully. Mean age at surgery was 51.9 years (range, 20-92 years). Pain was noted in 4 hips and squeaking was noted in 1 hip. According to Harris rating system, clinical results were graded excellent and good in 93% of hips and fair in 7%. Radiologically, the cup abduction angle of the acetabular components for all symptomatic hips was in acceptable realm. There has been no osteolysis or asceptic loosening on both sides of the hip. The failure rate of ASR XL total hip arthroplasty was 2% at early follow-up. The controversial ASR XL acetabular component could yield excellent clinical results in some circumstances.
Authors and Affiliations
Zhao ZS* and Sun JY
Keywords
Related Articles
- EP ID EP752071
- DOI -
- Views 35
- Downloads 0
Application and Failure Experience of Intramedullary Nail and Locking Plate in the Treatment of Femoral Subtrochanteric Fracture
Background: The experience of intramedullary nail and locking plate in femoral subtrochanteric fracture were retrospectively analysed. Methods: The operation time, bleeding, hospitalization, fracture healing time, Harris...
Outcome Measures in Spine Surgery: How Far Can we Go Building Evidence?
There is an imperative need to alleviate the actual and predictably harder burden of spine disorders and particularly the share due to chronic nonspecific low back pain, both at the individual and community-based viewpoi...
Anomalous Origin and Course of the Posterior Circumflex Humeral Artery: Clinical Interest in Shoulder Arthroscopy and Open Procedures
The posterior circumflex humeral artery usually cross the quadrilateral space with the axillary nerve but there are variations as this case, that artery runs down this space. We study this artery and its relations in ord...
Bisphosphonates in Postmenopausal Women with Osteoporosis to Prevent Future Fractures
Postmenopausal women who have osteoporosis are at increased risk of future fractures. Bisphosphonates are drugs that are used to treat osteoporosis by acting on the osteoclasts to inhibit bone resorption. Several studies...
Cubital Tunnel Syndrome Due to Ganglion Associated with Ulnar Neuropathy”: A Case Report
We report a case of ulnar neuropathy by a ganglion in the cubital tunnel. A 52 year old male presented in our OPD with tingling and numbness over medial side of left hand and left 4th and 5th fingers since 2 months which...