Mid-Term Outcomes of Cementless Total Hip Arthroplasty in Adult Patients with Childhood Hip Infection

• Published in: Medical science monitor 2021-03, Vol.27, p.e930760-e930760
• Main Authors: Qian, Zhenhao, Mamtimin, Askar, Zhang, Xiaogang, Xu, Boyong, Mu, Wenbo, Cao, Li
• Format: Article
• Language: English
• Subjects: Adult; Adverse Childhood Experiences; Aged; Arthroplasty, Replacement, Hip - methods; China; Clinical Research; Female; Follow-Up Studies; Hip - surgery; Hip Joint - surgery; Hip Prosthesis - adverse effects; Humans; Infections - physiopathology; Male; Middle Aged; Prosthesis Failure - etiology; Reoperation - trends; Retrospective Studies; Treatment Outcome
• ISSN: 1643-3750; 1234-1010; 1643-3750
• DOI: 10.12659/MSM.930760

BACKGROUND Patients with hip joint infections in childhood often have many aftereffects of different degrees, regardless of the kind of treatment or natural course. Total hip arthroplasty is currently the most effective treatment for sequelae of childhood hip septic or tuberculous infection. This is a mid-term follow-up study of treatment results of patients who had undergone total hip arthroplasty (THA) with cementless prostheses. MATERIAL AND METHODS We retrospectively analyzed and followed 45 patients (45 hips) who underwent THA with cementless prostheses between 2010 and 2017. There were 45 patients, including 17 men and 28 women. The average age of the patients was 46 years (range, 18-67 years). All hip infections occurred in early childhood or adolescence, and the mean interval between initial infection and THA was 38.2 years (range, 15-60 years). The mean follow-up was 6.1 years (range, 2.7-9.5 years). RESULTS Two patients underwent revision surgery because of loosening of the prosthesis, and 1 patient underwent revision surgery because of a new infection with no relationship with childhood infection during the follow-up. The average Harris hip scores significantly increased from 43.1 to 86.4 (P